Why are my breasts still sagging? What are my options? (Photo)

Question

had mini tummy tuck lift and breast implant exchange. Why is my belly still wrinkly? why are my boobs still sagging

Stefan Mark Szczerba, MD · Answer

A couple of things on your case.... it is way too early to tell.  Next a mini-TT is never as tight as a full tummy tuck but allows "creative" scar location such as your scar.  A general principle to remember is that the further your scar is away from the skin you are trying to tighten, the less the effect- in short, your scar will always hide well but never get your skin really tight over your entire abdomen.  I think your implants don't center well on your areola position...yet; this may settle though and I would encourage you to be patient.   Best Wishes!!

George Bitar, MD · Answer

Based on your photos, you are still early in your recovery, and it will take 9-12 months before you will see the outcome from surgery.  I recommend discussing your concerns with your plastic surgeon but would not make any final assessment until that time.

Daniel Barrett, MD · Answer

Dear hawaii55,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You did not post how long ago was your procedure, but it appears to be fairly early. Your implants may still be sitting a little high which will make your nipples look low. If you are a t 6 months, then the areolae can still be raised and the pockets adjusted to let the implants settle down better. Your mini tuck did not address your upper abdomen, but your lower is improved.  Please discuss your concerns with your surgeon.

Camille Cash, MD · Answer

You didn't mention how long ago you had surgery.  It can take 9-12 months for you to see final results.  I encourage you to discuss your concerns with your surgeon.  It is important that you feel confident and comfortable in your recovery progress.

Darryl J. Blinski, MD · Answer

Based on the 1 posted before & after photo, you are very recent from surgery. You must allow more healing time. But to me your breast lift was very conservative thus the location of your N/A complexes appear unchanged. As for the "min TT" - to me appears as extended free umbilicial floating full TT. That was not done well. To repair - Redo full lift after 4-6 months. No repair options for the unknown exact TT operation you had. Sorry but best to discuss with your chosen surgeon. Or virtual consult with....

Brad M. Gandolfi, MD · Answer

This looks to be a very early postop picture.As time moves forward, your body will start to form the scar tissue that will create the lasting result of your surgery. This takes 3-6 months. Follow up with your surgeon and understand that ALL healing occurs after you leave the OR. To me, it looks like he/she did a good job.

Mats Hagstrom, MD (license on probation) · Answer

In regards to mini tummy tuck if it truly is a mini tummy tuck it is one of the best results I’ve ever seen. without doing a full tummy tuck your surgeon managed to give you tight skin above your belly button which is quite a feat.
It is one of the best looking mini tummy tuck results I’ve seen.
I’m assuming you and your plastic surgeon discussed the breast left before surgery including reviewing before and after pictures.
If the nipple Ariola is placed high than the patient is at risk for the implants bottoming out over time. The nipple should be placed just above the inframammary fold.
Best in your pictures it looks like you’re quite early out from surgery. I suggest giving it six months before making assessments regarding Final results.
Follow up with your provider and discuss your concerns with him or her.
For a mini tummy tuck it is a stellar outcome.
Best,
Mats Hagstrom MD

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