Mastopexy advice needed. Would removal of the skin achieve the lifted look? (Photo)

Thank you for your question and photos. You had an anchor scar mastopexy. This technique's design creates a boxy breast. The vertical scar is made about 5 cm long which is unnaturally short. What happens, when one squeezes the breast tissue in, it has nowhere to go but laterally or medially giving a boxy look. Over time, the breast pushes south, and the horizontal scar keeps rising upwards in the lower pole of the breast. I abandoned this technique 20+ years ago. You can see that most surgeons who answered your post and use this technique, see nothing wrong and they call it a nice result.
If you were my patient, I would do a vertical lift, without moving your nipple/areolar complex, it is high enough. This technique will round your lower poles and makes it round as opposed to it's boxy look now. You will not need an implant.
See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Easy part : slight contour irregularity left breast. A pinch of skin removal under loocal would likely solve this.

Hard part : Mature breast, good volume patient wants no ptosis at all.

Regardless of the type of breast lift, and as you can see there are many, natural breast tissue goes south over time leading to a tear drop shape breast with some degree of droop. The skin is smarter than the doctor and will find its new normal often related to how much breast volume/ weight the breast has.

So what is a gravity defying breast? It is usually a patient that has little or no breast tissue who has an augmentation. This type of patient has no natural tissue to go south over time.

How could you become a patient with a gravity defying breast? Have a reduction to remove most of the natural tissue that responds to gravity and then replace it with an implant . While I share this concept with you most patients don't reduce just to go larger but I hope the idea makes sense.

Your PS did a normal and standard breast lift that gives both vertical and horizontal tightening of the breast. While some promote other options what you had removes the most loose skin.

Hope this helps

Congratulations on an overall nice mastopexy result. I agree with you that you still have a little too much skin low and lateral on the breast in the photo. This could be easily revised with a bit more skin excision. I am sure your surgeon will be willing to fix this for you. Good luck.

Dear EYEOFBEHOLDERS,
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 results are typical to the anchor technique. The technique I recommend is 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello darling,

After analyzing your case I can say you actually have a good result but you dont feel comfortable and its understandable. You could get a revision and get rid of the extra skin you want to take off.

Make sure you go on consultation with a board-certified plastic surgeon!

Best of lucks.

Dr. Luis Mejia.

Your result overall is actually very good. You just need more skin removed from the side. It could probably be done under local anesthesia. It is not uncommon for a breast lift to require some fine adjustment. Once that’s done you will have an excellent result.

Dear Mrs,After looking at your pictures, I would like to address your question providing as much details as possible for you to make an informed decision on the surgery. In your case, yes, you can achieve that by removing the skin and gland below. However, the optimal scenario would be the skin and gland removal plus implasnts.I encourage to ask further questions if the explanation above was not sufficient. Kind regards,Dr. Torres

Your breasts could be revised with the incision under to breast to remove the excess skin. This could be done in the office under local anesthesia, and is not as involved as your first lift.

Thank you for your photos. Your results are common in patients who did not have enough lateral skin removed. During a breast lift, the lateral skin must be pulled in more than than the skin near the midline or you get this 1/2-sagging look on the outside of the breasts and the breasts become more square with time. A quick revision where extra skin is removed can make a big improvement. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon