Had 450cc & 425cc & told lift not needed, will a breast lift fix my situation? (Photos)

Dear Littlelovex,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery Over many years, I developed a technique called "Reductive Augmentation" in which an internal bra-capsulorrhaphy, mastopexy - lift, and removal of inferior pole breast tissue is performed. This procedure is particularly suitable for patients who would like a more round appearing breast and upper pole fullness. I have treated many patients with very similar breast issues as yours. I published this technique in the International Journal of Aesthetic Surgery in 2017. Best wishes to you,

You have very large implants for your body type. Most of the implant volume rests below the areola and your nipple position is not bad. Basically, the skin in the lower pole of the breast has stretched. I'm suggest (1) much smaller implants (2). breast lift to yield a nipple to fold distance of about 7 cm (3) pocket revision to downsize the implant pocket and use an internal bra mesh support (Durasorb or Galaflex) to keep the low pole skin from stretching again.

Your breasts are low on the chest wall and have bottomed out. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I think you should have had a lift with implants. Many surgeons don’t like doing lifts so they just put implants in and tell you you’ll be fine. You need to get other opinions about what should be done

No, not with the size of implants you now have. Your breasts naturally sit low on your chest and the bases cannot be raised. However, if you go smaller, the excess skin can be tightened, and the inferior pockets can be raised. With your weight loss, your own tissue has been stretched and thinned and will not support heavy breasts.

You have marked bottoming out
A vertical scar breast lift combined with a mesh internal bra would correct this

Your situation is fairly complex with your history of massive weight loss and previous surgery.
To make an accurate assessment regarding the outcome of a 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 then ask your surgeon to forward the pictures they took.
There’s a lot of other information that would be Needed. In order to make a good assessment.
For example, are your implants placed under the pectoralis muscle, or on top of the pectoralis muscle. Your nipple position is correct and from that basis, you technically did not need a breast lift.
Your weight gain has, however, most likely stretched your skin envelope, and the weight loss has left you with skin laxity that makes regular breast augmentation results someone unpredictable.
To make a quality assessment and give you useful recommendations you need a high-quality assessment, which requires access to all the above stated information and preferably an examination.
I suggest having a few in person consultations with other providers in your community to get a better evaluation.
Best,
Mats Hagstrom MD