My breast lift /reduction left me with horrible results, what are my options? (Photo)

Question

I had a breast lift/ reduction almost two years ago. My breasts now look deformed, I feel very sad everytime I look in the mirror. What procedure would you recommend for my breasts to look the same, and that would create upper pole fullness? I do not want a size larger than a D cup. Is there a procedure that would prevent me from scarring as much? Also, I would appreciate any recommendations for doctors in NY, or miami. Thank you so much!

Omar Lazos, MD · Answer

Greetings although I'm not from NY or Miami Ill be glad to help... I have had this breast several times... It seem you got a big implant in the procedure, big implants are big problems... Implant's weight pressure's against the scar making it to heal that way... An inverted T breast lift revision with skin adjustment to a new smaller implant would be my suggestion....

Larry Weinstein, MD · Answer

I have seen a number of patients with a similar problem and have improved their results. Key is to mark you sitting up or standing prior to your laying on the table. I have always sat my patients up to check the symmetry before allowing my anesthesiologist to wake my patient. See a board certified ASAPS plastic surgeon in consultation. Good luck....

Gary M. Horndeski, MD · Answer

Thank you for you question and photo,      The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Marc Pacifico, MD, FRCS(Plast) · Answer

Many thanks for posting your question and photograph. I am sorry to hear that you have been left with a disappointing result.There is no substitute for an in-person consultation and examination to determine exactly how best to rectify your current situation. My strong recommendation is that your shape is the priority, with your final size being secondary to getting a good shape.You have bottomed out significantly, with a lot of breast tissue below the nipples and the nipples sitting too high on the breast. By reducing the volume and skin in the lower pole, this should help improve your breast aesthetics, and an implant may help to add volume to the upper pole.Finally, regarding your scarring, part of the result will be due to the choice and technique of surgery, but part will also be due to your body's own scarring tendency. Again, something to discuss further with your plastic surgeon.I wish you the best of luck

Farhad Rafizadeh, MD · Answer

You need to see an experienced plastic surgeon who can get consistent good results with all kinds of breast surgery. Not all plastic surgeon feel totally comfortable with breast symmetrization. You can have very symmetric breasts with a revision and if you are will to accept a small implant you can have upper pole fullness too. The scars will be where you have them already. They will be around the areola and wertically from the areola to the fold under the breast. You need to be seen in the office to get the final details.

Christian Subbio, MD · Answer

I'm sorry you had such a poor result.  This can be easily remedied with a breast lift revision.  Upper pole fullness can be improved depending upon the technique used.  Go with a board certified plastic surgeon with plenty of experience in breast revisionBest of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Urmen Desai, MD, MPH, FACS · Answer

I recommend a revision lift.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Ellen A. Mahony, MD · Answer

A detailed consultation with a copy of your operative report is your best place to start.Based on review of your prior surgery, understanding your goals and expectations, a new strategy can be developed.  Keep in mind that revision surgery often must take into consideration down-sizing the implant in order to create symmetry, a fuller upper pole and a more natural shape that has longer lasting results.In good health,Ellen Mahony, MD

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  You may benefit from a revision breast lift with or without the addition of a small implant for upper pole fullness.   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.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

James Murphy, FRCS(Plast) · Answer

Many thanks for your question. Whilst your result is unquestionably poor, there is considerable room for improvement and should be relatively straightforward to give you that. It is difficult to be specific without a face-to-face consultation and examination and I would suggest you concentrate your efforts on finding a local surgeon who has extensive experience in both reconstructive and aesthetic breast surgery.

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