Waterfall Effect - During a mastopexy can the surgeon remove excess tissue in the breasts to fix asymmetry and sagging? (Photos)

Yes, this is standard procedure for a breast lift. while your breasts will never be perfectly symmetric, they will be much closer in size. As we say, "they are sisters not twins." Still, it is standard during a breast lift to excise tissue asymmetrically in order to even out the breasts.

Hi, thank you for sharing your question. You are a good candidate for mastopexy and yes, during this procedure excess breast tissue can be removed to achieve a desired look.

It looks to me like there is significant laxity with the breast tissue and nipple-areolar complex hanging off of the implant. You would definitely benefit from a revision mastopexy with removal of the hanging tissue and lifting of the nipple to be centered about your breast mound. Thank you and I hope this helps!

Thank you for your inquiry! You are a great candidate for a Mastopexy revision. Yes, a Mastopexy (breast lift) will get rid of excess tissue and make your breasts symmetrical. Your implants can stay in order to keep your extra volume. I recommend consulting with a board certified plastic surgeon to create a surgical plan targeted towards your specific goals.

It seems, from your photographs, that you are in excellent candidate for a mastopexy. It would relocate your nipple areolar complex back onto the implant and gave you and all around youthful appearing breast.

I would start by being sure that the bottom of your implant sits on your inframammary fold. If it does, and the implants are symmetrical with regard to position, then a breast lift to reposition your nipple and areola to the midpoint of the implant should be done to give you the best aesthetic result. If there is a long distance between your nipple to your fold, this is the tissue which hangs off the implant. Tucking that tissue up inside the breast lift pattern can lead to early recurrence of the waterfall effect, so to remedy that, resection of the tissue directly underneath the areola removes the tissue which would hang and tightens the breast tissue, which is in addition to the skin tightening of a lift. Have a detailed consultation with your plastic surgeon regarding this. Best wishes.

It happens waterfall deformity after breast augmentatıon . The areola must be positioned up and the breast tissue hanging down must be removed with breast lift operation.
Best Wishes
Erman Ak MD

During a mastopexy, your surgeon will be able to correct some asymmetries from side to side. You should also be able to keep your current implants if there are no current problems with them. A breast lift will help tighten the skin envelope around the implants and enhance your aesthetics.

Dear Considerate622652,
it is possible to remove excess breast tissue during the surgery. 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

Your case is clearly illustrated in the photos you've provided. The current implant size complements you nicely, but there's excess skin laxity and asymmetry in the breasts. Once you've healed from the augmentation procedure and the implants have settled into their final position, a mastopexy would be appropriate. I recommend waiting at least 6 months post-surgery, and ideally up to 1 year if you're patient enough. The breast lift will address both the necessary skin tightness and improve symmetry.

Dr. B.