Do you think this is a lift failure on both breasts or just the right? (Photo)

Question

8mpo BL/BA 5'2" 138 lbs 470cc/440cc hp Sientra 106 utm. I am posting my before and 6mpo photos side by side. I feel like my surgeon should honor my revision insurance and do a more aggressive life on both breasts. Do to the shape of my right breast he does agree that he needs to revise that lift. He says the left breast is fine however, it sits exactly the same as before surgery just fuller on top. I need help knowing how to advocate for myself and another opinion about the lift.

Ronald J. Edelson, MD · Answer

Your nipple placement is good. I think you should get smaller implants and have more skin removed from the inframsmmary fold. There is too much skin in the lower breast

Daniel Barrett, MD · Answer

Dear Needanswersasap333,
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

Eric Swanson, MD · Answer

It is not unusual for patients to require a second breast lift. One important consideration is the type of breast lift. They are not all created equal. The vertical lift is most effective. I have learned to be aggressive in removing tissue from the lower pole to cinch it as tight as possible, producing the most perky appearance. This reduces the risk of a persistent lower pole bulge (plastic surgeons call this a "mastopexy-wrecking bulge"). Often when doing a secondary lift it is best to do it on both sides, even if one side is saggier, but that is a judgment call. Unfortunately, gravity and tissue elasticity work against us. The good news is that you can repeat the lift, especially a vertical lift, in the future.

Gary M. Horndeski, MD · Answer

Your results are typical of the vertical scar lift.  At this time, I recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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.  Later, fat transfers can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Please repost photos without covering any part of your breasts and a closer view. You do have uneven shoulders and scoliosis which increases the appearance of being uneven when actually you may be more even.

Do you think this is a lift failure on both breasts or just the right? (Photo)

Answers (5)

Answer: Explant with Bellesoma Method

Answer: Explant with Bellesoma Method

Answer: Surgery

Answer: Surgery

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Do you think this is a lift failure on both breasts or just the right? (Photo)

Answers (5)

Answer: Explant with Bellesoma Method

Answer: Explant with Bellesoma Method

Answer: Surgery

Answer: Surgery

Browse related questions

Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.