15 years post breast augmentation. What would help to provide a tighter chest wall and side boob? (photos)

Your implants may need to be replaced based on physical examination and high resolution ultrasound. In addition, you will need a revision breast lift. Your lateral chest wall will need a skin excision leaving you with an extension of the inframammary scar out to the side of your chest. If you choose, you could be a good candidate for an arm lift as well.

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. At the same time, you can undergo extension of the breast incision into the axilla and down the arm to perform an axillary arm lift.

Best Wishes,

Gary Horndeski, M.D.

Dear Teresa_Rides_Bikes,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, thank you for your question. In my opinion a combination of liposuction and direct skin excision will help contour the side of the breast and your upper flank area. This is common in patients who have had weight loss such as yourself and a board certified plastic surgeon should be able to help answer these questions in consultation.

As it seems you are very aware of, the lateral skin under your armpit is not exactly your breast tissue but is more your lateral chest tissue. These are aesthetically different structures as well as functionally different structures. Some excess skin in the lateral chest wall and in the arm are required for proper movement of skin around the body during normal day-to-day activities. When we as plastic surgeons perform procedures on this lateral chest skin and arms , we must be careful to explain to our patients that scars in these areas often widen due to the amount of movement in these areas. It is likely that a skilled plastic surgeon could perform An arm lifting procedure that includes an incision on your chest which may help improve his contour. Most of these incisions heal relatively well however the scars can be widened and this is important to note.

After reviewing your very nicely posted photos I recommend a combination surgeries. Exchange implants to larger size (at least 500++ cc's), Redo lift, Excision bilateral axillary excess skin & fat with bilateral upper brachioplasty. Fee $15,000 ranges. Best to virtual consult with....