3 years post mastopexy - how to correct my uneven breast lift? (Photos)

Hi, thanks for your question. Asymmetries in the skin envelope and nipple height would need to be addressed through a re-do uplift procedure. Any discrepancies in volume can be improved by removing tissue (breast reduction) or adding tissue (breast implant or fat transfer) to either breast depending on what you wished to achieve.

The lower inferior part of your breast appears to full compared to the other breast. This could be addressed by excising the excess skin from the vertical scar to help round out the breast and remove excess skin along the inframammary fold to get rid of excess tissue from the lower part of the breast. This would help with symmetry. You could also consider addressing both breasts at the same to time further enhance and lift both breasts. We perform these procedure in the office safely under local anesthesia without the need of general anesthesia.

The 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.

Best Wishes,

Gary Horndeski, M.D.

If you are satisfied with your right sided volume, then I think that a mastopexy revision of the left side with tissue reduction would give you an acceptable outcome. I typically like to do bilateral revisionary surgery to maximize the result, and there is a small chance that I would do some subtle skin tightening on the right side concurrently to maximize the aesthetic outcome. But you need tissue reduction on the left in the form of a revision.

Hello @Kind16967, thank you for your question. You could consider a revision with BRALift technique and it will for sure enhance the shape and projection of your breast. This procedure will remove excess skin, reposition breast tissue in order to create a better shape and cleavage. The scar can be varied, mostly the inverted T- shaped is used however in my experience of 23 years I have made a modification to improve the extension of the scar being the L shape for minimal scarring and the most adequate result. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. I link a video 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).

Dear Kind16967,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello, im dr salvador García from Guadalajara, we can do the simmetry, but you need breast implant under the muscle, and do the reconstruction with mastopexy T inverted, and your resulta will to much better than you have

It’s hard to tell what type of lift you had. However your breasts have clearly bottomed out. The lower portion of the breast needs to be tightened. But also unless you have an implant as well you won’t have upper pole fullness

I'm sorry you are unhappy with your breast lift results. From the photos and stated concerns a surgical revision would be needed for correction. I encourage you to meet with a board certified plastic surgeon near you to discuss your goals for surgery. You may be a candidate for auto augmentation where your own tissue is used to give more upper pole fullness. I've included a video on this approach that I hope you find helpful.

Your own tissue has sagged again, so the lift could be repeated. If you want more upper breast fullness, then implants placed behind the muscle will give better fullness and have support from the muscle.