Will a lift be able to fix deformation? (Photos)

Question

I have indents left from my previous implants. Would these be fixed with a lift? Does a lift always make you go down in size? I'm a 32c now. Wondering if i should expect to become a 32b post surgery.

Richard Baxter, MD · Answer

More details about your previous surgeries is needed in order to make a recommendation, but here are a few things that come to mind based on the photos: The indentations have the appearance of muscle adhesion to the remaining scar capsule. That is especially evident on the view with your arms raised. When you flex your pectoral muscle, do you see a pulling up where the indentations are? If so, then the muscles need to be re-attached (they are cut with the dual plane procedure when implants are placed under the muscle.) If not, then a lift will improve the shape along with fat grafting and scar release.

Stefan Mark Szczerba, MD · Answer

Your implants were inserted through the areola unfortunately.   That scar along with other issues is why implant surgery is no longer frequently performed with that approach.  A technique called subcision can be used to release that scar and fat grafting that area will help fill in any volume deficiency.  Regarding breast lift surgery reducing your size, breast lift surgery definitely "nips & tucks" something but it's usually just skin to improve position of your nipple/areola and not designed frequently to reduce you breast a whole cup size- that would be a breast reduction.  An alternative to breast lift surgery is "scarless breast lift" from InMode; it's a radiofrequency based treatment that is done through puncture.  The research behind it is newer but a rise of 1-5cm has been reported.  It will not correct the contour deformities from the implant surgery like a breast lift possibly can.     If you're near Chicago, give us a call and we can take a look.  Best Wishes!!

James N. Romanelli, MD, FACS · Answer

Yours is one situation where an in-person exam is particularly important, as well as a full discussion of goals.If your main goal is to fix the indents, fat grafting alone (over 1-2 sessions) may be sufficient.  If so the advantage is that you can avoid the additional scars of a lift.If a goal is to tighten the skin and lift the breasts, then the scars of a lift may be a good option.  Seek several experienced opinions, and best of luck!Dr. Jim Romanelli

Gary M. Horndeski, MD · Answer

The lift 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.  Later, fat transfers can be performed if additional volume is desired.  Best Wishes,Gary Horndeski, M.D.

W. John Bull, MD · Answer

It is possible that a vertical mastopexy could improve the depression I see in the photos however additional procedures may be needed such as fat grafting. Your breasts may look a little smaller after the lift but this is difficult to fully assess without an in person exam. I suggest seeing a board certified plastic surgeon to discuss the options.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is hard to tell without a physical examination, I recommend you to schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.
Best of luck.

Mathew A. Plant, MD, FRCSC · Answer

Without examining you it is difficult to be certain but based on the photos it looks like a vertical mastopexy (a.k.a lollipop lift) would help remove the damaged skin and rearrange the shape of the breast to remove the indentations. I would suggest having an in-person consultation by a local breast implant revision expert to be properly assessed. Hope that helps!

Harry T. Haramis, MD, FACS · Answer

You have some breast tissue on the bottom on the other side of the indent. A modified lift can address the excess, provided there are no pocket abnormalities or capsule, etc. Also depends when your original surgery was.The indent needs to be assessed if it is extra skin/tissue or if it needs coverage, small fat transfer or mesh may be an option.An exam and consultation with a/your plastic surgeon is recommended to discuss your options and expectations. We are also offering virtual consultations.

Christine Rodgers, MD · Answer

HI, A lift may be able to help with the creases that you now have in your breasts. One would need to incise some of the tissue inside to lessen the indentations that you have. If you become smaller post-op, it would not be by a great amount. Visit with several doctors in your area and get some different opinions.Good Luck!Dr.Christine Rodgers

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for a breast lift. This can be designed to improve the areas of indentation below your nipple and result in an improved shape and contour of your breasts while minimizing scar appearance. Your breasts may appear slightly smaller after this surgery. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Will a lift be able to fix deformation? (Photos)

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