Breast lift revision. Will I still require the “anchor” incision again?

Without a photo it would be difficult to give you an opinion. The type of breast lift suitable for you depends on the placement of your nipples in relation to your breast fold. If your nipples are below your breast fold, an anchor incision may be needed. If they are in line with your fold, then a less invasive lift or even proportionately sized implants on their own may improve perkiness.

Thank you for the inquiry! A Mastopexy can be redone using your old incisions and implants or fat transfer can be done at the same time to add volume. We would love to see you in office or virtually to make sure you're a great candidate for this procedure, listen to your concerns, and create a surgical plan for you. I recommend scheduling a consultation appointment with a board certified plastic surgeon so we can help you reach your goals!

Without seeing your breasts, it is impossible to say if you would need an anchor lift or if you could get the results you desire with a benelli lift that only goes around the areola. Implants can definitely be added during a lift. Another option for fullness is liposuction of abdomen or flanks, and the fat added to breasts to increase fullness if you still aren’t comfortable with implants. Feel free to reach out to my office for a consultation so I can go over what options are available to you. Smith Plastic Surgery 702-838-2455

Without posted photos and the benefit of physical exam - it's difficult to comment accurately. Revision surgeries are complex and require a customized approach, including measurements, exam and accurate photos. I suggest that you seek an experienced Board Certified PS to review the options

A lift is always a possibility after having a previous lift. The best way to give advice on your situation is to review current photos of your breast and perform a live video consultation at a minimum. Ideally an in-person consultation is performed to allow for a complete examination of your breasts including measurements, current scar evaluation, volume assessments. It would nice to have a copy of your previous operative report to fully understand how the previous lift was performed inside the breast. Breast lifting techniques can vary and may dictate how the breasts are approached for a secondary procedure. We perform breast lifts in our office under local anesthesia. If an implant is added to the procedure then this requires general anesthesia.

Hello @RealSelfMember039920, thank you for your question. the incision depends on the surgeon's surgical technique. The incision shape that I do is an L shape incision, leaving the cleavage area free of scars even if you have preexisting anchor scars, because for me it gets the best results. Remember that it's important to change the prosthesis every 10 years as the FDA recommends to avoid future complications. In the event that you decide not to have implants again, you should undergo a breast implant removal with a total capsulectomy. if you decide to go this route, a breast explant with immediate reconstruction using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation) will give adequate projection to the cleavage and upper pole fullness. I linked to a video to shed some light. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Unfortunately, you have not provided photographs or told us your bra size. However, there is an alternative technique called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Dear RealSelfMember039920,
it is hard to tell for sure without an examination. 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

It’s better to have it done earlier with plastic surgery because you’re taking advantage of younger, better skin quality. Going to plastic surgery is like going to the tailor. 10 years ago you had your birthday suit tailored to fit the volume of your natural breast tissue and it fit well for 10 years. However, just like with any fabric, times takes its toil on the fabric of your breast and your birthday suit doesn’t fit as well as it fit before. Therefore, you need to go back to the tailor/plastic surgeon to tighten the tissue and refit your breast skin. As a general rule, younger skin has better skin elasticity which would go a long way in helping to ensure a long lasting result with lesser scars. The same incision can be reused again. Whether or not you need implants depends on what you hope to achieve with the surgery. Often times, if you have ample breast tissue, a breast lift or mastopexy is all that is needed. And this is why it is so important for a plastic surgeon to understand your expectations with a thorough consult. Bringing in “wish pics” is helpful in this regard.


I hope this helps,
best of luck !

An exam or photos are needed for the best advice. Typically patients are able to have augmentation after a lift. Your surgeon will assist you with implant selection. If you decide to have augmentation it makes sense to have the lift revision at the same time versus waiting. I've included a video addressing your concerns about incisions during a revision that I hope you find helpful.