5'6, 130-135lbs, will a lift with inner sutures help bring my breasts up & closer together? (Photos)

It does appear from your photos that you have excessive lower pole stretch. Your Nipple/Areola appear to be in a good position. Although an exam would be needed, but judging from your photos I would recommend internal sutures to bring the implants more inward as well as an inferior mastopexy. Inferior mastopexy removed the excessive lower pole stretched tissue and will result in a scar along the fold.

Hope that helps.

Thank you for your question. A large portion of my practice is dedicated to breast revision. It appears that you would need a significant pocket modification which would include an internal bra, otherwise known as capsulorrhaphy and mirror image capsulotomy(opening up the center of the pocket) and a lollipop lift. In fact, I wrote the very first paper on capsulorrhaphy. Make sure that you seek out experienced plastic surgeon in breast revision. Best wishes to you.

Thank you for your question. Your implants have bottomed out and are drifting towards the side. Over time that tends to happen with larger implants. My recommendation would be to exchange the implants for around 300 to 350 cc, perform a small breast lift and add an internal mesh bra for support. The internal mesh will provide longer lasting results, especially after a revision. Additionally, I would consider adding fat grafting to the upper and middle part of your breast to increase the cleavage and to help camouflage the implant. Good luck.

Dear vgkgirl24,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your implants are bottoming out some from the weight. Your pockets could be tightened and an internal mesh bra may be needed for support, and a smaller size would hold up better. I doubt a lift will be helpful. Naturally, your breasts sit somewhat low on your chest and the base of your breasts cannot be moved.

Hi vgkgirl24, excellent question. Yes, I think getting a lift and internal sutures would improve the position of the implants. With large implants, there is a tendency for them for fall laterally and inferiorly. You can also consider a smaller implant so the weight doesn't force them downward with time, and fat grafting to increase the cleavage (lessen the gap). Hope that helps.

Your chest wall has a moderate oblique curvature, so the implants go downward and 'outward' (lateral) with gravity. A lollipop lift would elevate them and bring them more medially.
Dr. Taranow