Breast lift revision - yes or no? (Photo)

Question

I have had a breast lift w/o implants almost 6 months ago. The right breast was a little bigger before the procedure. Now, after the excess skin was removed, the right is fuller. Plus half of it is still numb after the lift. Should i have a revision to adjust the fullness? Should I not?

Eric Wright, MD · Answer

temelena,

After 6 months, the results will not likely change going forward.  Ultimately, a revision surgery to make the right side slightly smaller would depend on how much the size difference bothers you.  The risks of a second surgery would include worsening of the numbness that you have.  I would discuss your concerns with your plastic surgeon and determine a plan moving forward. Good luck with your ongoing recovery.

Dr. Eric J. Wright

Alan Gonzalez, MD, FACS · Answer

Hello @temelena, thank you for your question. Only after the period of time indicated by the surgeon who performed the surgery to heal properly has passed will it be possible to determine whether a subsequent intervention is necessary to improve the results. Best wishes! Alan Gonzalez MD, FACS.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether I should have a breast lift revision. The question is totally up to you. It is not mandatory, but if it bothers you, I suggest you proceed with surgery. Since it does not impact your activities of daily living or function, you do not mandatorily have to have this procedure. However, if it bothers you, I suggest you have the correction done sooner instead of later. As we age, the risks of other medical comorbidities increases. If you are considering cosmetic surgery, I would proceed to establish a consultation with a board-certified plastic surgeon. 
If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office.  Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 breast lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.  Good luck! 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.)

Jeffrey Lisiecki, MD · Answer

It depends how much the asymmetry bothers you. If it bothers you sufficiently that it is worth it to you to undergo another procedure, anesthesia again, healing and recovery time, and potential complications, then yes. Numbness may or may not still improve from your initial lift, and you may have some more areas of numbness after a revision (depending on where you are numb and where you need to have volume removed).

Daniel Barrett, MD · Answer

Dear temelena,
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

Justin K. Williams, MD · Answer

I would wait at least a full year before deciding to have a revision. There are things your surgeon can do to address any concerns but you have a nice result and your breasts are still healing.

Connie Hiers, MD, FACS · Answer

You have a nice result with minimal difference between the two breasts. I would suggest leaving things alone unless that small difference really bothers you. No one else will notice.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!In the plastic surgery field, we say that breasts are "sisters", not "twins". From your photo, your breasts appear relatively symmetric (but only one photo submitted), the nipple areolar complexes appear centered on the breast mounds and are at equal "altitudes" on the chest wall. The healing scars remain covered with steristrips.Only you can make the final decision regarding size adjustment...another surgery... another anesthetic...It may not be worthwhile.Best wishes...

Breast lift revision - yes or no? (Photo)

Answers (8)

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