I Had a Breast Lift and my Breast is Falling Again :/ I Need a Solution? (photo)

My first day on the plastic surgery rotation at Massachusetts General Hospital in 1974, I assisted Bradford Cannon MD, past Chief of Plastic Surgery, on a breast reduction.  At the end of the procedure I asked why it came out kind of square. Brad said that is how they come out.  My next case was assisting the Chief Resident, James W. May Jr. on a breast reduction.  He used the inverted T technique and it came out beautifully round and well shaped.  "I just did the same case with Brad and it came out square and yours came out round. Why?".  James was the perfect Southern gentleman.  He put his hand on my shoulder and told me with all modesty,  the first and most important lesson in my plastic surgery career.  "Luis, if you cut the breast square, they come out square.  If you cut them round, they come out round."

Your pictures should always be in the same position for before and after photos front, angled, and side for better evaluation.

But from what you have supplied it would be reasonable to suspect that the inverted T technique would have been a more prudent choice for the shape and degree of ptosis and the large areolae.  There is more scarring, but in skilled hands the procedure is the most reliable for cases like yours.

The good news is that the inverted T procedure can correct your current condition.  It is unlikely that you or your skin is the problem.  If your result does not look good at the end of surgery on the OR table, it is unlikely to dramatically improve later.

By the way, I told Brad what James said about the square breast.  Without hesitation he scrubbed in on James' next inverted T breast reduction and mastered the technique.  That is what I loved about the Harvard Surgical Service, selfless men of integrity.   Best wishes.  Knowledge is power.  Luis F. Villar MD FACS

You may require a revision breast lift using the same incisions as your first procedure. This may necessitate more longlasting sutures to provide a corset support for your lower breasts. 

Your breasts unfortunately have not taken on the perfect shape after your original breast lift.  It is difficult to say whether this is your own skin elasticity or the technique used during the original operation.  I would advise a second opInion by a board certified plastic surgeon.  Hopefully a little more skin tightening will get you the perfect shape.  Sorry to hear about your bad experience.  Good luck.