Why did my breast lift not work? (Photos)

 I think there may be a combination of factors at play. First of all a breast lift and implants is a very difficult operation. There are a lot of moving parts and it’s really hard to predict how some exactly someone’s tissue will react  and how they are implant will settle. I understand your concern because that picture is not how you or doctors want your results to turn out. I think your implants are holding in the right spot but your breast tissue seems to be more elastic than usual. Now having said that I think your best chance is for you to have as a little breast tissue left as possible (more tissue equals more droop.) That is why I favor more upper pedicle lifts and discard much of the lower part of the breast.I think you do you should try and fix this and I also believe your doctor should work with you. Ask your doctor the game plan and how to avoid this again…

A breast lift with augmentation can be one of the most challenging procedures (both for the patient to undergo and for the surgeon to achieve the desired results).  There are many factors at play that may effect the results. Initial stretchability of the skin (having children can impact this, but so can fluctuations in weight and/or initial shape of the breasts), size of the implant, how tight skin is pulled effecting tension on the scars, amount of breast tissue, etc. It does appear that the implants are holding in a nice position, but that the skin has stretched past the bottom of the implants. This "residual droop" is one of the most difficult components to anticipate. Since this is a push/pull operation ( implants "pushing" out, while the breast lift "pulls" the tissue back in), there is a fine line to walk to get the perfect results. One newer component that might be helpful could include the use of Galatea scaffold that can strengthen the lower aspect of the tissue as this scaffold is reabsorbed  and broken down by the body into carbon dioxide and water. It has allowed the expected "residual droop" to be more regulated and controlled with more consistent results. Hope that helps

Your
results are typical of the lollipop incision. The lollipop technique excises
skin below the areola and pulls it together in an attempt to elevate the
breast.  The skin envelope does not
create upward forces that are adequate, especially if you add the weight of an
implant.  The better technique is The
Bellesoma Method.  This technique uses
the pectoralis major muscle to actively elevate your breasts.  At this time, I recommend explantation using The
Bellesoma Method.  The implants are
removed, your breast tissue is reshaped creating upper pole fullness, elevated
higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation
and the ability to breast feed are maintained, if not injured during your
previous surgery.  At the same time or
later, fat transfers can be performed if additional volume is desired.  Best Wishes,Gary Horndeski, M.D.

Looking at your before and after photos, there is definitely a significant improvement.  Certainly, your expectations haven't been met.  Perhaps your could request to just raise the areolas under local anesthesia, which might significantly reduce the cost of the revision.  Hope this helps and good luck!  

Dear jack711,Every surgeon has a revision policy. Many involve reduced or even no fees for the surgeon (depending on the situation) while the patient may still be responsible for facility (the use of the operating room, staff, and supplies) and anesthesia fees. Best to go back to your surgeon and have a talk about your concerns again. Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi,
When the breast lift with implants procedure is performed, the breast would look lifted and well formed in the early postoperative days but after a few weeks-months the breast tissue will descend to a lower position (which depends on the skin and breast tissue elasticity) but usually the implants will stay in a higher position. That is why a two- or three-step procedure is usually preferred or the patients should be warned for the need of a (highly probable) revision surgery. The revision rates after breast-lift with implants is very high (30-70%).
Looking at your photos, it seems that you need a breast-lift revision. The timing may vary, on average most of the doctors wait 8-12 months after the last surgery.
These are my comments solely depends on your photos and may subject to change.
Best wishes,

It is impossible to assess your results without preop and early postop photos to assess your results. When doing a breast lift, with or without implants, the breasts will change and stretch out over time.  How much stretching that occurs is often a function of the quality of the patient's tissues and not how well the original lift was done. Patients with thinner skin, stretch marks and thin, predominantly fatty breast tissue are more likely to have recurrent sagging. In many of these patients, a retightening of the lift will last longer than the original lift since the breast tissue and implant related swelling have all occurred with the first surgery.  Additionally, mesh support can be used to help support the breasts, but this material can add significant cost to the procedure.

Dear Jack711,
Thank you for your email and for the attached photos.
What is clear from your photos is that they are not standardized to be fair. It's almost like comparing apples to oranges (the first 5 vs last 3 The mole that you have below the left breast from the initial photos and after is in a similar position) That being said, my feeling is that you were not lifted enough at the primary surgery. Not enough skin was removed. 
It is very difficult to anticipate what the skin will do with time - in patients with stretch marks prior to initial surgery, it may be an option to incorporate mesh to help diffuse the tension across the inferior pole incisions.
I personally believe that within a year of the initial surgery, it is unethical for the doctor to request that you pay again for their errors in judgement and technique. 
Good luck