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Previous Breast Reduction, Now in my 60's. I Am Considering a Lift. What Are my Options?

asked 1 year ago by Slater7693 in Slater, SC
Latest answer by Tom J. Pousti, MD
Question viewed 317 times
Tags: age 55-64, sagging

are my options? My nipple is in the right place but the bottom of my breasts are sagging.

13 answers to Previous Breast Reduction, Now in my 60's. I Am Considering a Lift. What Are my Options?

Breast lift years after breast reduction

This is not an uncommon request for older ladies who had reductions as young women. Many women put on a few (or more) pounds in their 40's and 50's and the extra weight often goes to the chest. Your breasts may actually be larger than they were many years ago. The surgeon would have to be very careful about blood supply issues and do a procedure that would not disrupt circulation to the nipple. Most patients who had reductions years ago had an... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

www.sowdermd.com

Breast Lift after Breast Reduction

It is definitely possible to undergo a breast lift after breast reduction. A few important factors to consider: 1. you will need a normal mammogram within 1 year 2. It would be very helpful to get hold of your operative report from your previous breast reduction. This will allow your surgeon to determine how to best preserve blood supply to your nipple and areola complex 3.Consider your risk factors. At 60 years old,... more

Paul S. Gill, MD
Houston Plastic Surgeon

Breast Lift with a history of a prior breast reduction

Yes, you can undergo a breast lift after having undergone a breast reduction many years ago. However, in your prior breast reduction, there was likely some manipulation of the nipple areola complex (ie. manipulation of the blood supply to your nipple areola complex). Given your history of a breast reduction, it may limit the breast lift techniques you can safely undergo. Having said that - uou can definitely undergo a breast lift, but it requires your... more

C. Bob Basu, MD
Houston Plastic Surgeon

Lift after reduction

You have a very common problem. You can lift the breast tissuecwithout moving your nipples. Also round them up and pull some of the hanging tissue from the side. They will look good without the horizontal scar. A vertical lift with internal suspension will be best.

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon

Repeat lift after reduction

The lift can be repeated to tighten the lower pole skin without raising the nipples any higher. Conversely, you can fill in the skin laxity with a small implant but I'd personally recommend the re-lift option.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Lifting after Breast Reduction?

Thank you for the question. What you are requesting is not unusual and not difficult or risky to perform. It would be a matter of removal of “excess” skin to tighten up the breast skin envelope. Please consult with a well experienced board-certified plastic surgeon and check-in with your primary care doctor for medical clearance prior to surgery. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast lift after previous breast reduction

To me, this sound like you have developed some relaxation of the skin in the lower half of your breasts. This is sometimes known as "bottoming out". This is not uncommon following breast reduction. The nipple stays at approximately the right place, and the skin between the nipple and the crease beneath the breasts lengthens. Sometimes this makes the nipple point upward, and there may be a loss of fullness in the upper portion of the breast. This can often... more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Secondary Mastopexy (Breast Lift)

Yes, you may be a good candidate for a secondary mastopexy (breast lift). In general, the same incisions can be used to perform the lift as your precious surgery. It all really depends on your anatomy and the results you are looking to achieve. In consultation, your surgeon will be able to evaluate your previous surgery and help plan your secondary procedure. Good luck.

David Shafer, MD
New York Plastic Surgeon

Correcting Sagging Breasts in a Woman in her 60's with history of Previous Breast Reduction

Regarding: "Previous Breast Reduction, Now in my 60's. I Am Considering a Lift. What Are my Options? are my options? My nipple is in the right place but the bottom of my breasts are sagging." Are you happy with your breast SIZE? if you are, then all you would need is a Breast Lift which would be limited to using the vertical limb of the old breast reduction. your surgeon would like to see the operative note from the original surgery. This would guide him on WHICH... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast reduction revision with breast lift

In most instances, this requires a removal of the excess tissues below the nipple. The surgeon would greatly appreciate knowing the technique if this can be determined by reviewing previous notes and operative reports. Can you get these from the hospital or doctor's office or surgicenter prior to your consultation?

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Lift after Reduction

Though hard to say, it sounds like you have "bottoming out," a problem that occurs after some reductions. This is usually quite easy to fix, as the nipple does not have to be moved. Consult an experienced plastic surgeon.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Lift after a reduction

You certainly can undergo a lift after a previous breast reduction but there are slightly higher risks of complications.

Steven Wallach, MD
Manhattan Plastic Surgeon

Yes, you can have a breast lift after reduction.

A photo would be helpful in formulating my response however, the principle behind a breast lift/mastopexy is to keep all of the breast tissue but reduce the volume of the envelope of skin it is contained in. So when the same volume of tissue is placed inside a smaller envelope of skin it will fill it out more. If your nipple/areolar is positioned correctly there is no need to make incisions around it and the excess skin to be removed would all be in the lower part of your breast... more