Breast argumentation just over a year ago and I'm still sore and have sagging skin - advice? (photos)

Thank you for the question. It appears that you need a lift to elevate your nipples to a more youthful position and tighten the skin and breasts. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Good morning,
It appears that your implants and your breasts haven't meshed together quite as well as they should- I see that you have a little double bubble in the bending over photo- almost like your natural breast is sitting on top of your implants instead of them being one with each other- you could consider a lift and the Internal bra to make them behave more as one similar unit!

hello @lme73 thank you for your question and showing your pictures. With 21 years of experience and from what I see in the photos, I suggest a revision of the surgery and do a breast pexy to rearrange the breast tissue, raise the areola and nipple improving the shape of the breast and if necessary and according to your goals remove current prothesis and put new ones to give more volume and projection.The amount of breast tissue changes proportional to weight, pregnancy, lactation, heredity, or hormonal changes. Before The plastic surgeon must assess the individual characteristics of the patients breasts, as well as the general condition of the woman for the correct indication of the intervention. Best wishes!

Congratulations on your weight loss! Losing a significant amount of weight can have important implications for breast augmentation results over the long term. One common side effect of significant weight loss is loss of skin elasticity. The reduced skin elasticity reduces the mechanical strength of the skin, reducing its ability to withstand stress. When a person has a breast augmentation, the implant imparts stress on the skin by virtue of the weight of the device. Studies that look at weight loss patients who have had breast augmentation report a higher risk of needing future breast operations including mastopexy (breast lift) in the months or years after surgery. Your photos and description suggest you would benefit from a breast lift. You may also benefit from placing support around your implants to help reduce the stretching effect of the implant on your skin.
Breast pain after breast augmentation may be attributed to one or more of the following: capsular contracture, muscle spasm, muscle injury, nerve injury, rib irritation, or breast implant illness. A detailed history and exam are necessary help determine the cause of pain and the recommended treatment.

Dear lme73,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. It does appear that you would benefit from a lift to elevate your natural breast tissue on top of your implant. It appears that you may also have some bottoming out of the implant which would also need to be corrected. Talk to your surgeon again or seek out second opinions. Hope this helps.

From the photos you have ptosis and will need a lift to correct this. You can consider changing your implants at that time if you wish. Larger implants are heavy and can lead to early sagging. Another option is to add bioabsorbable mesh at the time of the lift to support the tissues form the weight of the implants.

You need a lift to remove excess skin and elevate your nipples. I would suggest going with smaller implants so they won't be a large and heavy, plus the lift. Some women have tenderness in their breast tissue which may remain until menopause.