Interested in mastopexy revision. Lateral falling tissue, medial nipples. Suggestions?

Dear PicklesNOlives,
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

Measurements are needed to be more exact in what should be done. You did get a good result with what was done. Moving the nipples laterally is somewhat limited because you do not want extra scarring and you do not want to overstretch the current blood supply to the nipples. Please discuss this with your surgeon.

Hi and welcome to our forum!From your pre- and postoperative photos, there has already been marked improvement in your appearance. However, I note descent of the lateral breasts, fullness of the lateral aspects of the breasts, and medial placement of the nipple areolar complexes.Without the benefit of a complete history (especially relating to your previous breast surgery) and physical examination, I can only guess on a possible gameplan. I provide my "guess":The fullness and descent of the lateral breast aspects can be corrected with wedge excision of skin and lateral breast parenchyma with tacking of the lateral breast tissue to underlying rib periosteum to prevent downward drift. The nipple areolar complex cannot be moved without creating a potentially significant scar. However, an oval periareolar lateral skin excision will create a larger more centrally located areola on the breast mound.Continue follow up care with your plastic surgeon.Best wishes...