7 weeks post op Breast lift/augmentation, I notice a lot of skin sag next to both sides of breast. Do I need a revision? (photo)

Yes! You absolutely need a revision. For whatever reason, the pocket under the pectoral muscle was not properly designed in terms of size, space and position for the implant. There was also an inadequate amount of skin and/or tissue removed. Also, size of the implant may be a factor and you may need a different size implant. So, it could be any of these or a combination which caused a squaring off of the breasts and it will not correct itself. You need revision surgery.

What you have is a "dog ear". This is typical in patients with higher BMIs. Your surgeon can directly excise this skin or use liposuction in some cases to help flatten out that area.

Believe it or not,  everyone continues to heal and have changes in swelling for at least 12 weeks out from a breast lift surgery.  That means that it is simply too early to know if you need a revision.  Continue to maintain good communication with your surgeon, and communicate your concerns, but really be patient and give it more time.  Best of luck!

I do see the deformity and we: A dog ear. You are still early at 7 weeks and hopefully the breast implants will drop and as they drop pole this loose tissue into a better position and make it less obvious.  If it is still present at 3-4 months then a simple skin excision can revise it appropriately.  This occurs because the surgeon  tries to avoid a long inframammary crease scar during your breast lift.

Your concern is understandable at this point, but it is far too early to be worried.  Whenever skin is removed, like in a lift procedure, there will be bunching up of the remaining skin somewhere, usually at the end of and incision line.  We call this a 'dog ear'.  In your case, it appears at the outside end of your under breast incision.  It can take 6 months or more for swelling and skin changes to normalize.  It is possible for the dog ears to go away completely.  This is why we advise waiting at least six months before doing a revision.  There are some situations that will not improve with time, but many will.  Give it time is the best advice for now.  Good luck.