Which procedure would be the best option for removing excess skin after breast implant removal? (photos)

In porder to achieve more projected breasts, breast lift would be procedure of choice. Small shape/volume improval can be achieved with simultanous fat grafting. Good luck.

Dear natasha0x,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You likely need a breast lift that uses a combination of incisions around the areola, a vertical incision, and a short horizontal incision in the breast crease. This type of breast lift is referred to as a Wise pattern lift. The reason this is most likely the operation you need is that you appear to have skin excess horizontally and vertically.

Hello @natasha0x, thank you for your question. To prevent long-term inflammation, it is also important to perform a capsulectomy to remove all the capsule. I would recommend waiting a bit longer as it can take up to a year to complete the healing process after breast implant removal. The most optimal and aesthetically adequate option would be breast reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation). I link a testimonial that sheds more light on the matter. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Hello, thank you for your question. Unfortunately the only way to remove excess skin is by removing it. Usually the sutures used are dissolvable and if not they get removed. Speak to your plastic surgeon about options suitable for you.

You have some loose skin around the areola which could be removed through an incision surrounding the areolae. I think that would work well in your situation

If you have excess skin after removal of your breast implants, a breast lift procedure may be an option to address the skin redundancy and improve the appearance of your breasts. During a breast lift, excess skin is removed, and the remaining skin is tightened and repositioned to elevate the breasts and create a more youthful contour.

Breast lift procedures are typically performed under general anesthesia and involve incisions around the areola and possibly down the front of the breast or in the breast crease, depending on the extent of the lift needed. Your plastic surgeon can discuss the various techniques available and recommend the most appropriate option for your individual needs and goals.

It's worth noting that a breast lift procedure may result in some scarring, although your surgeon will make every effort to minimize the appearance of any incisions. Additionally, as you mentioned, you may have limited fat available for grafting, which can limit your options for additional volume restoration. However, your plastic surgeon can discuss the various options available and help you make an informed decision based on your individual situation.

It's important to have an open and honest dialogue with your plastic surgeon about your goals, concerns, and any preferences you have regarding foreign materials. They can recommend appropriate treatment options based on your individual needs and help you achieve the best possible outcome.

Best of luck !

You could get improvement with the minimally invasive radiofrequency treatments like Renuvion or ThermiTight to tighten your skin. Otherwise, you would need a lift which does involve stiches, though most do dissolve with time.

A breast lift will remove the excess skin and improve the shape that concerns you. Sutures are involved during the process but they often are dissolvable and your body will break them down over time. I encourage you to visit with a board certified plastic surgeon near you to learn more about your options.

From the photos, it appears you have good volume. The issue is excess skin.
If you opt for the least scar, and go just around the areola, it will somewhat flatten the projection of your breast. If you go circumvertical, with the "lollipop" incision, you wll get more projection and better tightness, but the cost is the vertical line.
Only you can decide.