Need Breast Revision, Adding BA, Lipo360 and Braline Back Lift (Photo)

Dear KJJ7,
based on your photos, it looks like you have loose skin on your back so you will most likely need back lift in order to improve it. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You need a back lift, revision of the inframammary scars and fat transfers to the upper poles of your breasts rather that implants.

Best Wishes,

Gary Horndeski, M.D.

Lipo won't help you there. You'll need an upper body lift/back lift to manage the excess skin. Your choice is a traditional incision that runs across the back at the level of the bra strap, or and oblique incision that mirrors the folds of skin on your back. Either way and you can expect a very nice improvement to your contour, and it will help delineate the lateral aspect of your breasts.

Thank you for your question and pictures. First of all, congrats on your weight loss. If you added implants and revised the lateral part of your BL you would get more upper pole fullness, but, in exchange for a larger breast which you may or may not want. And due to the amount of breast tissue you currently have, a decent sized implant would be needed to achieve a visible and worthwhile difference. As for the back, from what I can see on the pictures, it looks like what you would need is at least a bra line lift and possibly combined with the lipo of the abdomen and back, or so called Lipo 360.

I would suggest adding minimally invasive skin tightening like Renuvion to your liposuction of your back bra rolls. You might do very well and avoid the long scars.

Based on your nicely poster photos, always best to do virtual consultation to understand options. I would recommend a breast augmentation in the 500 to 700 cc moderate profile plus implants, silicon, memory gel or silicon boost. I bilateral bra back Lyft. With Lipo of areas of body. Fee $10,000. Best of virtual consult with the stated.

Weight loss patients rarely need liposuction.
Weight loss patients if anything need more extensive skin surgery.
To get an idea of how thick your subcutaneous fat layer is don’t grab a handful of skin.
Instead put the skin under tension by pulling it tight and then gently press with the tip of your finger until you feel the underlying muscle or bone structure to understand how thick the subcutaneous fat layer is.
You don’t need Liposuction you need to have the rest of the skin laxity managed if you want your body to look better.
What you have left is what wasn’t managed from your previous procedure.
For example, the fullness on the side of your breast is because the skin excision stopped where your scar comes to an end.
That scar could be extended up into your armpit removing skin laxity from your under arm and back.
There are a few different ways of dealing With Skin redundancy on the upper torso.
None of them are great, but they can be useful, especially patients who have history of healing well and don’t mind longer scars.
Depending on what you’re hoping to achieve, you may want to consider reducing some of your natural breast tissue and tighten up the skin envelope a bit if you’re going to add an implant.
These are all things to discuss with your provider.
Differentiating skin laxity versus excess subcutaneous fat confuses a lot of people including plastic surgeons.
Generally speaking skin laxity, lowers peoples Liposuction candidacy disappointment from that procedure.
Skin laxity requires a skin incision.
You’ve already lost a fat and that is no longer the issue. With successful weight loss, patients are generally left with skin laxity, and that is treatment. Options should be focused.
Understanding the primary versus secondary ideology is key to quality decisions and quality outcomes.
Plastic surgeons would think you would benefit in a significant way by Liposuction are probably lacking skill and experience.
I think if you check the thickness of your fat layer with your skin under tension, you’ll recognize how thin the fat layer actually is.
Best,
Mats Hagstrom, MD