How can I address sagging boobs even after a breast lift? (Photos)

Your results are typical of the lollipop or anchor techniques. I recommend 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.

Hello, thank you for your question. You have a great result from what I can tell in the photo. The issue with any breast lift is that over time even with a supportive bra, breast gland will continue to droop and skin will continue to stretch and sag. Over time even with implants breast will fall. You should always wear a good supportive bra all the time especially during physical activity. That is very considerate of the surgeon to revise that for you! At the end of the day, we always try our best to make the patients happy but environmental and genetic factors sometimes can get in the way.

The best way to treat residual droop after a breast lift is to do a revision breast lift to further tighten the breast and remove additional glandular ptosis.

Unfortunately, your result is something that is seen after lift of larger breasts. Gravity is pooling breast tissue down, in lower pole, while upper pole becomes flatter and deflated. Your nipples seem to be in good position, relative to breast mound!. Augmentation with small implants (including small breast reduction to decrease volume of breast tissue prone to sagging?) and tightening of the lower pole with additional skin excision, are some of the possibilities. Good luck.

Dear Plucky76076,
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. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Addressing sagging breasts even after a breast lift can be challenging, but there are several options available. It's important to remember that no method is guaranteed to completely eliminate sagging, as natural aging and gravity can continue to affect breast tissue over time. However, you can try the following approaches:1.) Maintain a Healthy Lifestyle:• Eating a balanced diet can help you maintain your overall health and skin elasticity.• Regular exercise, including chest exercises, can strengthen the muscles underneath your breasts, which may provide some lift and support.2.) Wear Supportive Bras:• Invest in well-fitting, supportive bras that provide adequate lift and minimize sagging. Bras with underwire and wide straps can offer better support.3.) Topical Treatments:• There are various creams and lotions on the market that claim to firm and tighten the skin. While they may not produce dramatic results, some people find them beneficial for improving skin texture and elasticity.4.) Hydration and Moisturization:• Keeping your skin well-hydrated by drinking enough water and using moisturizers can help maintain skin elasticity.5.) Avoid Smoking and Excessive Sun Exposure:• Smoking can contribute to skin aging and loss of elasticity. Quitting smoking can have a positive impact on the appearance of your skin.• Protect your skin from excessive sun exposure, as UV radiation can lead to premature aging and sagging. Use sunscreen and protective clothing when outdoors.6.) Consider Non-Surgical Procedures:• Non-surgical treatments such as radiofrequency (e.g., Morpheus8 or Venus Freeze)) can stimulate collagen production and improve skin elasticity. Consult with a qualified cosmetic dermatologist or plastic surgeon to discuss these options.7.) Cosmetic Fillers:• Dermal fillers like hyaluronic acid can be used to add volume and improve the appearance of the upper part of the breast, especially in cases of minor sagging.8.) Surgical Revision:• In some cases, a secondary breast lift (revision mastopexy) may be necessary to address recurrent sagging after a previous breast lift surgery. Consult with a board-certified plastic surgeon to discuss your options.9.) Manage Weight Fluctuations:• Maintain a stable weight, as significant weight fluctuations can impact breast tissue and lead to sagging.10.) Realistic Expectations:• It's important to have realistic expectations. No treatment can completely defy gravity, and natural aging will continue to affect your breasts over time.Consulting with a board-certified plastic surgeon or a qualified medical professional is crucial to determine the most appropriate approach for your specific situation. They can assess your breasts, discuss your goals, and recommend the best course of action, whether it involves non-surgical or surgical interventions.

Actually, your results are good. naturally, your breasts sit low on your chest and the bases cannot be moved. You can add upper fullness with implants behind the muscle, but this will make you larger. The lift could be made somewhat tighter and raise your nipples a little more. However, your skin will gradually stretch and loosen to where it is now.

Very good posted photos. YES you need complete revision of lift and maybe small implants. Best to virtual consult with... Fees from $6,000-$15,000 depends if using implants, type of implants.

Hi and welcome to our forum!
From your photos, I note a degree of change from preoperative to postoperative photos. The nipple areolar complexes are higher on the breast mound. The breasts remain quite large. The distance from the top of the breast bone to the nipples is still increased but to a lesser extent, the nipple areolar complexes are at slightly different "altitudes" on the chest wall ( as they were preoperatively), the scars are somewhat hypertrophic, your nipples reside at the level of the fold beneath the breasts, and you demonstrate moderate sag.
Mastopexy is designed to lift the nipple areolar complexes into anatomic position, remove excess skin, and conify the shape of the breasts. Your early postoperative appearance may have looked similar to this description, but your breast weight has resulted in re-stretching of overlying skin.
You may consider a secondary mastopexy or perhaps even a breast reduction to prevent recurrence of this phenomenon.
Revisit your plastic surgeon.
Best wishes...