Breast lift revision - how can I get them fixed? (Photo)

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 Includes an internal bra-capsulorrhaphy, mastopexy - lift, and removal of inferior pole breast tissue is. This procedure is particularly suitable for patients who have a lot of inferior pole breast tissue. 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,

I would recommend a revision anchor pattern style mastopexy (breast lift). This will permit tailoring the soft tissue envelope adequately and removing the excess horizontal/vertical of the skin/breast tissue. I would recommend finding an American Board of Plastic Surgery certified plastic surgeon with extensive revisionary breast surgery experience.

Dear arhea7,
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

Hello,
Based on your photographs, you do have retained areolar pigment along the vertical portion of the scar. The distance from the nipple to the infra-mammary fold also appears excessive, indicative of bottoming out of the implant. This also creates the appearance of a high riding nipple areolar complex. I would recommend mastopexy revision with conversion to a wise pattern (inverted T) scar. This would remove the retained pigment and shorten the distance from the nipple to the IMF, placing the nipple areolar complex over the most projected part of the implant while improving fullness of the upper breast. You may also benefit from internal mesh support. As always, you should choose a surgeon certified by the American Board of Plastic Surgery with extensive experience with revision breast surgery. Good luck.

gleaning from your photos, it looks like you had a skin-only lift. I would recommend conversion to a full mastopexy/breast reduction to maximize lift, proportion, shape & symmetry. This will require a standard "anchor" type scar, but you will have a durable result that will meet your expectations (including removal of the residual areolar tissue). Thank you.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Your breasts have a classic shape seen after lollypop type breast lifts: dropped out and stargazing nipples. This is why for most women the traditional anchor scar pattern is still the best option. It is very common to see your issues and repair them by converting to an anchor scar by removing the excess skin (and breast tissue too) along your inframammary fold. This will reposition your breast mound upward, which in turn shortens the distance from nipple to fold, re-volumizes the upper pole of the breast, and improves nipple areolar complex angle. You have an additional issue that should be addressed too, the residual areolar skin on either side of the upper portion of your vertical scar. This can be addressed by revising both the vertical and periareolar scars, which will also alleviate the poor scarring around the left areola. Looking at other portions of your scar, it is clear you are capable of making very fine, white scars.

Thank you for your question and photos. Based on these photos, you bottomed out and your areolas are large and asymmetrical. Your vertical lift needs to be converted to an anchor lift with some breast tissue removed from the bases, reduce the areola size, remove the residual areolar skin in the vertical scars. This will make your areolas better positioned on the breast mound and not appear too high. An operative report from your surgeon would be helpful to see what exactly was done in surgery. You would need some liposuction of the lateral chest wall and better definition of the lateral breasts. See a board certified plastic surgeon experienced in breast surgery for an in person consultation/evaluation. Good luck.

Yes, you are correct that a revision should be done with a surgeon who has a lot of experience. From your photos:
#1 nipple/areolar complex is too high and even too lateral
#2 there is residual darker pigmentation below the nipple/areolar complex, probably left over from the original areola that was resected
There are several ways to address these problems, and you need a thorough discussion with your chosen surgeon. I would get several opinions.

Your nipples are not too high, but your breasts have sagged down. Once the sagging breast tissue is fixed, you will see that the nipples are in a good position.