6 months post-op from vertical mastopexy. Revision scheduled for September due to excess skin/tissue under breasts. (photos)

Hello dear, thanks for your question and provided information as well..

The breasts may lose their elasticity and firmness which can be caused by different factors such as pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts and restore the natural look your surgeon can perform a mastopexy or breast lift. A breast lift restores a firmer, perkier, and more aesthetically pleasing shape to sagging breasts. This not only can improve a patient’s appearance by restoring her youthful, feminine proportions, but  also help bras and swimsuits fit more comfortably and attractively. By removing excess, stretched out skin, reshaping the breast tissue, and raising the nipple & areola into a more forward position, a cosmetic surgeon can create a more youthful breast contour. Stretched, large areolae can also be reduced during breast lift surgery, creating an overall better proportioned, natural looking breast, Actually the perkiness on a person or another, depends on patients skin and breast tissue..

Thanks for posting theses pics as it illustrates the problem that is sometimes encountered with vertical only mastopexy. A revision with further skin excision leaving a further horizontal scar ( final result - an anchor scar) will significantly improve the problem and may even shorten the vertical scar. Your scars are still quite red considering it is 6 months post op - silicone treatment might be worth considering after your next op.

Hello,This is a very common problem associated with the vertical mastopexy.  The reason is that most sagging breasts have a substantial redundancy of skin in both the vertical and horizontal vectors.  The most logical and direct means of addressing this redundancy is an anchor scar. Todays anchor mastopexies don't have to have such a long inframammary incision, however. Your revision can be done in the office, but let's be clear what the plan is.  You mentioned that your surgeon said it won't 'extend the vertical scar very much'. Well, if the plan is correct, it should shorten your vertical scar by the creation of a horizontal scar, approximately the length of your skin excess (dog ears). This revision will essentially convert you to an 'anchor' scar incision, which is just fine.Best of luck!