Breast lift/reduction 5 yrs ago. How can I fix the appearance of double bubble/bottoming out with no implants? (Photo)

You are experiencing the most frequent "complication" of breast lift/reduction. Heavy breast tissue descends and expands lower pole of the breast due to gravity while niple/areola stays in the same position. The only way to correct that is new lift or small reduction. Good luck.

Dear Reiter84,   There are several techniques/procedures available that can improve/correct your problem. A thorough in person exam would be needed and the options will be discussed with you. Make sure your surgeon is experienced in breast revision surgery. Good luck. Dr. Gervais.

From the photos you provided, this is a very easy fix.  I would simply perform a wedge excision at the base of your breasts to excise this tissue and recreate a more optimal breast fold.  Downtime would be minimal and you should achieve a very nice long-term result.I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author

Dear reiter84,
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

I can clearly see your problem. I think a revision of your lift/reduction would resolve your problem. Your horizontal scar is well up on the breast tissue. I think a revision that puts the scar into the inframammary fold should resolve the double bubble, and you could get a touch more lift and perkiness at the same time. Good luck.

Your breasts can be reduced a little more and lifted so there is less risk of bottoming out from the weight. Women with large breasts who need reductions have stretched skin that does not hold well over time. going smaller can be very helpful to prevent more sagging.

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) What you have described is a not uncommon sequela of breast lift/reduction surgery. Based on your photos, revision breast surgery may be a good option to improve the shape and contour of the lower pole of your breasts. If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.