Is second Breast Lift safe 3 yrs after? And can weight gain and loss of 10 pounds cause breasts to be empty again? (photos)

Question

I got a breast lift 3 yrs ago but they are deflated on the top is a second breast lift safe? I'm happy with the size but just want a little skin tighten. Can gaining and losing 10 pounds contribute to the deflation? I gained 10 pounds during covid and then lost it and gained it back and lost it again and I'm thinking that's why they are deflated. A surgeon refused another lift and said I need implants but I don't want them. I don't normally gain 10 pounds.

Kaveh Alizadeh, MD, MSc, FACS · Answer

HI Samantha 33396,
The short answer to your question is yes, it is safe to do re-operative surgery; however, it is important to know as much about the first surgery as possible in order to "provide a road map" for your next surgery. Once your re-operative surgeon knows the approach that was taken before, they can then devise a safe route to make sure the circulation remains intact and you get your desired outcome. As far as weight gain and loss, I would say that it is quite similar to pregnancy weight changes that can cause deflation in the breast tissue; But given that we know your skin tends to give way to the drop in breast tissue it is best to provide internal support to help prevent recurrence of this problem. At Cosmoplastic Surgery, we have used the "Naturabra" technique that allows for your own breast tissue to act as an internal bra that supports the lifted breast. We just reported our results of the past 18 years of over 700 breast lift cases at the 100th anniversary meeting of the American Association of Plastic Surgeons in San Diego in April 2022.

Camille Cash, MD · Answer

From the photo it appears you would benefit from a 2nd breast lift.  It's unlikely you'll maintain upper pole fullness without an implant as you need more volume.  Weight gain and loss affect women differently but generally speaking a ten pound gain or loss does not produce a significant difference in the breasts.

Daniel Barrett, MD · Answer

Dear Samantha33396,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Antonios Mitsakos, MD · Answer

An uplift after 3 years sounds as safe as it will ever be as long as you are in good health. If you are happy with the shape of your breast it is possible to reshape your breast tissue in a way do that it gives you better definition in the cleavage area and fuller upper pole

Connie Hiers, MD, FACS · Answer

You might want to consider minimally invasive radiofrequency skin tightening to tighten that small amount and avoid surgery.

Is second Breast Lift safe 3 yrs after? And can weight gain and loss of 10 pounds cause breasts to be empty again? (photos)

Answers (9)

Answer: Autologous augmentation

Answer: Autologous augmentation

Answer: Lift

Answer: Lift

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Everything you need to know about Breast Lift

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Is second Breast Lift safe 3 yrs after? And can weight gain and loss of 10 pounds cause breasts to be empty again? (photos)

Answers (9)

Answer: Autologous augmentation

Answer: Autologous augmentation

Answer: Lift

Answer: Lift

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Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.