Why did my breasts sag again after a lift? (photo)
Doctor Answers 3
Recurrent bottoming out after breast lift and augmentation
Post-Operative Breast Sag
It's not unusual for patients to have excess skin and soft tissue in both the transverse and vertical dimensions following the removal of large breast implants. In addition, the implant pocket may be too large for a smaller implant and this may accentuate lost upper breast fullness and breast sag.
For these reasons, decreasing breast implant size may require decreasing the size of the implant pocket with a capsulorrhaphy. In addition, patients may require an anchor or lollipop mastopexy to remove excess skin in multiple dimensions. The exact procedure chosen will depend upon the patient's physical examination.
Correction of these problems usually always requires adjustment of the soft tissue envelope. Under these circumstances, a capsulorrhaphy to decrease pocket size and a breast lift revision would be appropriate.
If you're considering pocket revision, it's appropriate to consult your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
This is easy and can even be done in the office for the right patient. Of course the OR is a fine choice for a sterile environment and a little sedation may make you more comfortable. The procdure should take about 20 -30 minutes. Ask your surgeon if he or she thinks this may help you. Good luck and please update us!
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