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Are my Breasts Still Sitting Low After Breast Lift and Augmentation?

asked 6 months ago by Tammyfromwinnipeg in Winnipeg, MB
Latest answer by William T. Stoeckel, MD
Question viewed 498 times
Tags: 2 weeks post-op, lollipop

I am 8 weeks post op from breast lift (lollipop)and cohesive gel implants(above the muscle). I am experiencing rippling around my breasts in which is apparently normal for my size however to me they seem to sit lower than I was told they would and when they are manually "lifted" the rippling appears to deminish. Could they have been positioned higher and could this be partially affecting the rippling? Im concerned that I will need a re-lift in the near future if they sit this low 8 weeks post op

13 answers to Are my Breasts Still Sitting Low After Breast Lift and Augmentation?

Breast lift implant positioning

Your results are very acceptable in my opinion. Whether or not the implant position is high enough is a matter of personal preference. If the implants were placed in the subpectoral position and the mastopexy was slightly more aggressive, the implant could look higher and more youthful. But your breast shape, scarring, and position are quite good. You have a very thin skin envelope which explains the rippling despite using the cohesive gel implants. My personal preference for you would have... more

William T. Stoeckel, MD
Raleigh-Durham Plastic Surgeon

Implant position is foundation of breast shape

Hello, You will get different answers depending on whom you ask. The implant position is the foundation of the breast shape so it is important to establish the optimum breast implant position prior to determining the amount of lift needed etc. If you look at your before photos and imagine where you would draw the position of the implant in its ideal location for your chest it would be slightly higher than your current implant position. I am a big fan of subfascial... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Mastopexy augmentation low breast

In my opinion you have a long chest and this makes your breasts look lower. I think the location of the implant is adequate and it would've been very difficult to raise your stress higher. The rippling on the side of the breast may be something that would have to be treated surgically by changing the pocket to below the muscle or using dermal matrix like alloderm to support lower outer quadrant of the breast and treat the rippling.

Wendell Perry, MD
Miami Plastic Surgeon

www.wperrymd.com

Appearance of breasts after lift and augmentation

Your breasts have a reasonable shape right now but won't maintain this long term. With your implants in a submammary pocket, you can expect that they will descend over time with elongation of your breasts and thinning of your skin (providing all other factors such as weight don't change). Another issue that you have noticed is the rippling which is seen both with saline and silicone (less commonly) implants that have been place in a submammary pocket. This will be a... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

Breast Lift

You describe two separate issues: the shape of your breast, and the presence of rippling. Rippling is due to the palpability of the implant through the tissue. Thinner patients will have more rippling especially with implants placed in the subglandular position. Thinner patients are also more prone to stretching due to the lack of elasticity in their tissues. Your breast may have had a higher position if you had had a T-scar type mastopexy instead of a... more

Donald Griffin, MD
Nashville Plastic Surgeon

Breast lifting and rippling

Rippling of the breast after impalnt placement has to do with the amount of soft tissue present between the implant and the skin.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast lift results 8 weeks after surgery are too early to tell

After 8 weeks your breasts have not yet fully settled after surgery. You have nice results but the final judgement can only come after things have settled completely. You should wait until at least three months after your surgery before you can tell whether or not you will be happy with your results. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Are my Breasts Still Sitting Low After Breast Lift and Augmentation?

Photos indicate an acceptable result. I question the type of implant because of the "ripples". But if you are not happy than repeat lifting with a larger implant like smooth HP silicone memory gels.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Normal shape after breast lift

Your photos show a very good result from breastl ift. The nipple should sit above teh breast fold, front and center on the breast, and the nipple should be just about the mid point of the upper arm. Your result is spot on and you will not need a lift agin in the future. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Results after Breast Augmentation/Lifting?

Thank you for the question and pictures. It is hard to determine if the breasts are “too low” without direct examination and measurements. As I mentioned, as a previous response to one of your earlier questions, I would have personally preferred to keep the implants in the submuscular position ( as much as possible) in your case. This would have been the most effective way to minimize rippling. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast lift results?

I would definitely agree that your results are very good! One thing to understand about a breast lift -- a lift doesn't move the breast to a higher location on the chest (that illusion can only occur with push-up bras). A breast is considered ptotic (saggy) when the nipple is below the level of the inframammary fold; so a breast lift seeks to relocate the nipple areola complex to a level equal with the inframammary fold; the implant will restore some fullness to the breast... more

Anureet K. Bajaj, MD
Oklahoma City Plastic Surgeon

www.bajajplasticsurgery.com

? Bottoming out

Your result looks quite good! If I had performed this surgery, I would be pleased with the result- The Lateral rippling is due to the soft tissue limitations of your natural breast tissue (note your left breast is smaller and has less soft tissue than the right) Fat Grafting over these implants would improve your result greatly- See the attached link Best Regards, Dr Del vecchio bostonbreastcenter

Daniel Del Vecchio, MD
Boston Plastic Surgeon

Are my Breasts Still Sitting Low After Breast Lift and Augmentation?

Although it is always hard to tell exactly where your inframammary fold or crease is from photos without examining you, it does appear that your breasts have been lifted adequately in relation to your IMF. You must realize that breast lifts do not reposition the entire breast higher on the chest independent of the IMF position...they reduce overhang of the breast in relation to the crease or IMF, and they reposition a low nipple to a higher, better position at or slightly above the... more