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

Question

What can I do to have less skin/fat and a nicer side boob? I had a breast lift / saline implants 2007. At the time I complain that I felt I had too much fat on my side boob area and dr extended the scar. Unfortunately all that did was provide a lip for all of the skin and fat to hangover and I feel like my boobs are boxy. I am looking to have an arm lift, breast revision and want the best options to include this area to have a tight chest wall/ pretty side boob. 145 lbs, 5'3", lost 70 lbs.

Gerald Minniti, MD, FACS · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

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

Fernando Ovalle Jr., MD · Answer

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.

Justin K. Williams, MD · Answer

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.

Darryl J. Blinski, MD · Answer

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....

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

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