What can be done to enhance previous breast augmentation results? (photos)

Thanks for your question. If your breasts have sagged again, it is possible to have another breast lift procedure, and this can be done while keeping your current implants, removing them, or changing their size. People who require breast lift surgery typically have breast tissue that has decreased elasticity and strength, so it is not uncommon for it to relax and settle over time. For this reason, many patients will seek to have secondary surgery to restore the shape and upper fullness.

Your photos suggest that you have had some recurrent sagging as a result of your pregnancy. Ideally, treatment would be through a second breast lift. You may want to delay this if you are planning on having more children.

Thanks for your question. It all depends on your desired results. From your pictures, it seems like you may be a good candidate for a breast lift, breast lift with implant exchange or a breast reduction. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon

From your photograph, it appears that your nipple and areola are at the correct level. It also appears that the distance from your nipple down to the fold underneath your breast is elongated secondary to some stretching of the tissues from your pregnancy as well as the weight of your implants. The upper pole of your breast has a nice slope to it. Since the tissues of your breast stretched out over the prior two years, a repeat of the skin excision would likely result in the same result over time Therefore, you may consider what is called an ADM, or acellular dermal matrix, such as Galaflex, which is a reinforcing mesh that is placed into the tissues of the lower pole of the breast, as a sling, at the time of a lift, which provides additional strength to the tissues and will incorporate into your tissues, so that strength is maintained for years and your lifted result has the best chance of lasting years. Best wishes

Dear marriagebabiesboobies,
based on your photos, it looks like you would need breast lift. 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 photos and question. Based on your photos, you look like a good candidate for a secondary breast lift. I would suggest visiting with your original plastic surgeon or consulting with a board certified plastic surgery to discuss your options. Good luck!

It does look like you may benefit from another lift since your nipples appear to be below your breast fold.

I would recommend removing your implants and performing a revision mastopexy. This will allow maximum tightening of your breasts which is the primary stated goal. If you desire more fullness after the revision lift, then you can have a modest implant. Thanks.

Your implants have dropped out due to over expansion of the pockets they sit in. This will require tightening of the internal scar capsule and reinforcing with resorbable mesh. Once that is complete, you'll need a revision breast lift/possible reduction to reposition the tighter soft tissue/skin envelope over the implant mound. Anything less than this will not achieve a good outcome

Your previous lift was inadequate. The weight of the implants is pulling your breasts down. 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.