Can the issues be fixed?

Thank you for your inquiry! Communicate your concerns with your physician. Yes, revisions can be made and volume can be added to your breasts using fat transfer instead of implants. I recommend consulting with a board certified plastic surgeon to create a surgical plan targeted towards your specific goals.

Dear Gorgeous7424,
I understand your concern and it is quite normal to be concerned about the outcome following a breast surgery. However, you are still in the very early stages of the healing process at 6 weeks post op.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides, you will be able to see the final result of your breast surgery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It’s not possible to give a knowledgeable response without some photographs or an in person examination. The shape of the breast may be able to be modified with revising the skin pattern for the lift. Volume could be added back with fat grafting, helping you avoid implants, although fat grafting does have its own issues that you would need to be informed about. As you are clearly concerned, consult with additional plastic surgeons about what your options are. Best wishes.

Hi @Gorgeous7424, thank you for your question. It is possible to do a revision and reposition the breast tissue with minimal scarring improving the overall proportion and correcting the nipples. This will create overall harmony and this can be done with an L-shaped incision so you will not have scarring in the cleavage area. Using my BRALIFT (Breast Reconstruction Anatomical Lift Augmentation) technique to reposition the breast tissue and improve the projection of the upper pole and mid zones. In this way you can have a turgid breast with projection. Best regards.

Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation for Adipose Therapeutics and Science" (IFATS), Member of the Colombian Society of Plastic Surgery (SCCP).

Unfortunately, you have not provided photographs. It is possible to revise breast lifts depending on the technique used. It is also possible to use fat transfers to increase size rather than using implants. The breast lift technique I use is called 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.

Hi, thank you for sharing your question. It’s difficult to say whether a concern/problem can be corrected without photos or an exam but in general, a situation like the one you described may require fat grafting, implants or a revision of the lift altogether.

I would continue to work with your surgeon and follow up as directed. 6 weeks post-op is still quite early - swelling will continue to resolve, tissues will relax and results can further change. While you may need a revision if there are asymmetries or to address size concerns, this would be best to consider no earlier than ~6 months following your operation to allow adequate healing a swelling resolution. If added volume is desired without implants, autologous fat grafting may be an option to further augment your results.
Sean Fisher Aesthetic Plastic Surgeon

At six weeks from surgery you are still healing and further changes may occur as swelling subsides and tissues settle. If you are still unhappy with your shape and size at six months post op you can consider a revision for improvement. If you feel your breasts are too small you can consider an implant. If you are okay with the volume but not the shape that may be able to be improved with a revision.

To add volume, you would either need implants or fat transfers. The lift can be revised to improve the shape. I would suggest doing the lift first. Although you are used to having large heavy breasts, the C cup will be much more comfortable over time, especially as you get older.