To make an assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures. If you don’t have before and after pictures and ask your surgeon to forward the pictures they took. You can get copies of your before and after pictures by requesting them. They are part of your medical record. using the technique and is inherently limited. If a significant lift or significant or areola reduction is needed then it may be better to convert the procedure to a more aggressive or proper procedure which may involve longer scars. Personally, I’m not a big fan of the donut, mastopexy a.k.a. Benelli mastopexy, The procedure is inherently limited and should only be used when a very slight lift or slight reduction is needed. Using this procedure inappropriately can set patients up for more difficult revisions in the future. If you’re no longer have faith in your current provider, then schedule a few in person second opinion consultations with other plastic surgeons in your community. Second opinion, consultations should always be done as in person consultations and patients should come prepared. This means bringing a complete set of proper before and after pictures and copies of your previews operative report. These are all part of your medical record and you can request them from your current provider. I highly recommend people avoid virtual consultations whenever possible, and always schedule several in person consultations with plastic surgeons before considering selecting a provider or even thinking about scheduling surgery. The biggest mistake I see patients make other than scheduling virtual consultations is scheduling only one consultation before having surgery. By Scheduling only one consultation patients more or less eliminate the ability to choose a better provider. The second biggest mistake is assuming that someone is board-certified in plastic surgery with a few years of experience and a handful of positive reviews as master of most plastic surgical procedures. You need some vent providers for the procedure you were interested in to make sure they have the skill and experience to deliver consistent quality outcomes. Surgeons may be responsible for surgical outcomes. Patients are responsible for provider selection. There’s no correct number of consultations needed to find the right provider. The more consultations you scheduled the more likely are to find the better provider for your needs. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patient who had similar body characteristics to your own. and experience plastic surgeon should have no difficulty showing you an impressive collection before and after pictures. Highly experienced providers should have 100 or preferably thousands of before and after pictures to choose from. When in doubt slow down and schedule more consultations. The last thing you want to do is r and experience plastic surgeon should have no difficulty showing you an impressive collection before and after pictures. Haily providers should have 100 or preferably thousands of before and after pictures to choose from. When in doubt, slow down and schedule more consultations. The last thing you wanna do is to rush into revision surgery. Step is to find the right provider and this takes time. Considering revision surgery is much more complex and difficult than primary procedures. You need to now be more careful regarding provider selection and for your first operation. Best, Mats Hagström MD