In need of a breast lift revision? (photos)

Question

I believe the lift used for me was not the proper lift. It is highly depressing.

Donald R. Revis Jr, MD · Answer

Good morning,
I completely agree with you- after a lift your nipples should not be located at the very bottom of your breasts!

J. Timothy Katzen, MD, FACS · Answer

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Thank you for your question regarding what to do about whether a breast lift revision is needed. In my opinion, I would suggest another breast lift. Since you did not include your preoperative pictures, it is difficult to say if there was a significant improvement. However, I imagine there was a significant improvement. However, moving forward for your best results, I would suggest a small implant to reestablish upper pull breast volume in addition to a breast lift. In your case, since we need a definitive lift and revision, I would suggest an anchor-type lift. The incision would go around the areola, down the front of the breast, and underneath the breast. This will achieve maximum lift and fullness to the breast. If you just do another breast lift or mastopexy, you will lack upper pull volume. Thank you for your question regarding whether you need a breast lift revision.

Sincerely, Dr. Katzen. 
(“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Gary M. Horndeski, MD · Answer

The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

Wayne I. Yamahata, MD · Answer

To substantially improve the outcome of your surgery will require a revision. Discuss options with your surgeon.

Gerald Minniti, MD, FACS · Answer

You will need to be seen, but it is clear that  your breast aesthetic are suboptimal and would definitely be much improved by a formal breast lift.

Daniel Barrett, MD · Answer

Dear jolina1028,
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

Derek Fletcher, MD · Answer

Unfortunately, yes. If you decide to seek a consultation a new surgeon to discuss your options for a revision breast lift, be sure to bring your operative report so they know as accurately as possible what was done during your first procedure.

Camille Cash, MD · Answer

The result of this lift is not acceptable.  Your nipples are much too low on the breast.  Unfortunately a revision will be necessary to improve your results.

Connie Hiers, MD, FACS · Answer

It appears that the limited scarring gave you a limited lift. You will need at least a vertical lift to reshape and tighten your breasts.

David Mattos, MD · Answer

I agree this is not an ideal outcome, but it can only be compared to your preoperative photos to have a better idea. Otherwise we're comparing them in a vacuum. Your breast tissue has limited volume, so no matter how great the lift is, it may still look a bit deflated. If that is what bothers you, you may benefit from an implant. If you're just bothered by the loose skin and not the volume, then a breast lift revision may be worthwhile for you. I recommend sharing your concerns with your plastic surgeon. Good luck!