I'm 35 years old, 5'8 ft weight 178 lbs. I have lost 50 lbs within a year. I got surgery about 6 mos. ago (Mommy Maker) I told my PS I wanted full frim DDs cup. Post op I notice the position of the nipple is resting on top of the full part of the breast they aren't facing straight out but facing upward, nipples are now inverted, breast are fuller but have no full lift. Do I have to get a revision and go bigger to have breast lifted or does the PS needs to tighten the skin on the breast? Pre -op 36D, post -op 36 DD implants 305cc under the muscle. Didn't lose any more weight.
March 10, 2018
Answer: Breast Lift with Implants Hi Anna,Sorry you are dropping a little. Because your skin is stretchy, you may need to remove some more. Be sure to get down to your fight weight if you have more skin removed. The larger the implant, the more weight is in your breast, and gravity will pull things down more. So I like your size of 305. Check back with your surgeon, and describe what you have said above, give it some time, and if necessary, return for more skin removal. All the best, "Dr. Joe"
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March 10, 2018
Answer: Breast Lift with Implants Hi Anna,Sorry you are dropping a little. Because your skin is stretchy, you may need to remove some more. Be sure to get down to your fight weight if you have more skin removed. The larger the implant, the more weight is in your breast, and gravity will pull things down more. So I like your size of 305. Check back with your surgeon, and describe what you have said above, give it some time, and if necessary, return for more skin removal. All the best, "Dr. Joe"
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August 8, 2017
Answer: Recurrent sagging after breast lift plus implants 6 months ago. Thanks for your photos. They show additional skin stretch and some degree of bottoming out. With stretched skin (even after a lift), there is never a return of lost elasticity after breast lift, since the same stretched skin is being reconfigured and tailored into the new higher tighter skin brassiere. But it's still the same stretched skin!Either this was a poorly-designed lift (lower breast flaps too long), or a beautifully-designed lift with damaged skin whose innate loss of elasticity was not taken into account. Firm was probably never an option, even with implants (unless you and/or your surgeon planned on capsular contracture).Bigger implants will further fill your presently still-loose skin, and revision of your entire lift by removing additional skin can further tighten your skin brassiere. But larger implants and even less skin to contain them does not necessarily = high and firm. More likely, it leads to recurrent droop and additional dissatisfaction, or maybe even wound breakdown and disaster. Please understand that this is not a function of the "right" surgeon or a "better" surgical plan. You cannot rewrite the laws of physics (gravity acting on large masses) no matter how much you might want to. Sorry. Best wishes! Dr. Tholen
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August 8, 2017
Answer: Recurrent sagging after breast lift plus implants 6 months ago. Thanks for your photos. They show additional skin stretch and some degree of bottoming out. With stretched skin (even after a lift), there is never a return of lost elasticity after breast lift, since the same stretched skin is being reconfigured and tailored into the new higher tighter skin brassiere. But it's still the same stretched skin!Either this was a poorly-designed lift (lower breast flaps too long), or a beautifully-designed lift with damaged skin whose innate loss of elasticity was not taken into account. Firm was probably never an option, even with implants (unless you and/or your surgeon planned on capsular contracture).Bigger implants will further fill your presently still-loose skin, and revision of your entire lift by removing additional skin can further tighten your skin brassiere. But larger implants and even less skin to contain them does not necessarily = high and firm. More likely, it leads to recurrent droop and additional dissatisfaction, or maybe even wound breakdown and disaster. Please understand that this is not a function of the "right" surgeon or a "better" surgical plan. You cannot rewrite the laws of physics (gravity acting on large masses) no matter how much you might want to. Sorry. Best wishes! Dr. Tholen
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