What are my options to improve cleavage after breast reduction? 26F (Photo)

I have seen many patients with your similar situation. You have a good result but the way your breast settled over time resulted in a « bottoming out » look. However, not bad by any means.

Nevertheless, esthetically, you would benefit from a revision mastopexy, not just to tighten your breast skin enveloppe but for the main purpose of « reconstructing » your inframammary fold (under -the-breast crease). Specifically, the goal of the reconstruction is to elevate your crease and stabilize it to the lining of the ribs above which would also « push up » your breast tissue. This will effectively decrease the amount of breast tissue lying below your nipple, giving your more superior fullness at the same time while lowering your nipples to a more normal position in relationship to the breast.

I hope this helps,
best of luck !

I would recommend a skin-only mastopexy (breast lift, anchor pattern) to help reposition and also make the areolas slightly smaller. I would recommend seeing a board-certified plastic surgeon with experience in complex revisionary breast surgery.

Skin laxity can increase or recur after breast reduction, causing the breast to be ptotic (sag) again. More specifically, it is a pseduoptosis or bottoming out. This translates to an increased nipple to fold distance. Decreasing this distance will help with the overall shape of the breast.