I lost about 90lbs 5 years ago and had a mastopexy with implants and abdominoplasty in January of 2022. I've had a lot of upper abdominal skin laxity since the surgery, my breasts seem too low on my rib cage and they fall to the side. The 75 cc differences in my implants is noticeable. Not pleased with the results but my surgeon is. I'd like my breast higher and brought towards my middline and the upper skin tightened without lowering my breasts. Am I being unreasonable?
April 12, 2023
Answer: Soft tissue laxity after weight loss Soft tissues, including skin, have significantly decreased elasticity after weight loss. For that reason result after abdominoplasty and, in particular, breast lift, may not be long lasting and may need revision. Good example is your breast; new breast lift and fixation of inframammary fold will be needed. In order to tighten vertical folds of abdomen (horizontal laxity) a skin excision in the midline, with scar extended from sternum to mons, is needed. The same effect may be achieved with two excsions on each side of torso, extending from breasts to hips. It is difficult to evaluate your result without before surgery images, but it seems to be very much within average for someone loosing 90 lbs. Hope this helps.
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April 12, 2023
Answer: Soft tissue laxity after weight loss Soft tissues, including skin, have significantly decreased elasticity after weight loss. For that reason result after abdominoplasty and, in particular, breast lift, may not be long lasting and may need revision. Good example is your breast; new breast lift and fixation of inframammary fold will be needed. In order to tighten vertical folds of abdomen (horizontal laxity) a skin excision in the midline, with scar extended from sternum to mons, is needed. The same effect may be achieved with two excsions on each side of torso, extending from breasts to hips. It is difficult to evaluate your result without before surgery images, but it seems to be very much within average for someone loosing 90 lbs. Hope this helps.
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April 12, 2023
Answer: Revision I suggest you get a second opinion. Achieving 90 pound weight loss is an exceptional achievement. However, most people experience significant skin laxity following significant weight loss. This often results in the skin stretching out within the first year of their abdominoplasty and breast lift that can effect the quality of the results for both procedures (especially if the breast lift is combine with an augmentation). The main question is whether or not your skin has enough integrity to make a revision surgery worth it.
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April 12, 2023
Answer: Revision I suggest you get a second opinion. Achieving 90 pound weight loss is an exceptional achievement. However, most people experience significant skin laxity following significant weight loss. This often results in the skin stretching out within the first year of their abdominoplasty and breast lift that can effect the quality of the results for both procedures (especially if the breast lift is combine with an augmentation). The main question is whether or not your skin has enough integrity to make a revision surgery worth it.
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