Help! Breast lift + augmentation looking awful 6 months post. What are my options? (Photo)

Question

Hi, I m 6 months post op and my breasts are looking really droopy with loose sagging skin all around. My nipples are Ali huge an look deformed. Is there anything that can be done to help? My breasts before were deflated, but now I just have huge saggy deformed breasts. Implants are behind the muscle, 300cc mentor moderate plus.

Donald R. Revis Jr, MD · Answer

Good afternoon,
It appears like you had a vertical (lollipop) mastopexy? which is notorious for creating that elongated lower pole look. You should have your areoalas reduced, and convert the vertical mastopexy to a full "inverted T" mastopexy to tighten up the lower pole and decrease that long pointy look of your lower poles. It's not a huge revision procedure but it will make a huge difference in your appearance!

Richard Baxter, MD · Answer

The combination of implants and a lift has a high revision rate for several reasons. You can achieve a significant improvement with a revision of the lift, which will narrow the scars, tighten the lower pole of the breasts, and reduce the areolar diameter.

Vasileios Vasilakis, MD, FACS · Answer

Hello and thank you for the question. Based on your photographs and concerns, you need revision of the breast lift, in order to reduce your nipple size and tighten the lower part of your breast. This is certainly doable. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon.

Daniel Barrett, MD · Answer

Dear Nicole_LM,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Vertical scar techniques are insufficient in terms of removing excess skin. At this time, you will need your scars revised and additional skin will need to be taken out. You may also need an inframammary incision to take care of the bottoming out skin. If you are happy with the size of your breasts I would would not do anything with the size of your implants.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

It appears you had an anchor type gift but the lower pole of the breasts has bottomed out. You could have the lower pole tightened but it would require an extra scar. Is it worth it for you? You would need to make that decision.

Connie Hiers, MD, FACS · Answer

You have some residual sagging of your own breast tissue which can be easily fixed with an incision under the breasts to remove the excess skin. Your areolae can also be somewhat reduced at the same time if you desire.

Richard P. Rand, MD, FACS (retired) · Answer

From the photos, it looks like you might have had a vertical lollipop lift trying to avoid a crease scar. It appears that the nipples are too high and that the vertical limb from the crease up is too long. This can be revised and adding the crease scar and fixing the vertical one will pull the nipples down and tighten the lower pole. The implants can be left alone.

Help! Breast lift + augmentation looking awful 6 months post. What are my options? (Photo)

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