Breast lift revision with or without implants?

Hello,
Thank you for reaching out with your question about whether to opt for a breast lift with or without implants. It's important to consider what you're aiming to achieve with the procedure in terms of breast volume and shape.
If you're content with your current breast size and mainly looking to improve their shape or position, a breast lift (mastopexy) alone might be the best option. This procedure repositions and reshapes your breasts for a more youthful and lifted appearance without altering their size.
On the other hand, if you desire an increase in breast volume along with a lift, then combining the lift with breast implants would be necessary. Implants can provide that extra fullness and size that a lift alone cannot achieve.
In both scenarios, incorporating surgical mesh can be beneficial. It adds internal support, helping to maintain the breast's position and shape over time, especially important to prevent "bottoming out" when using implants.
Ultimately, the right choice depends on your satisfaction with your current breast size and your desired outcome. Discussing these details with your plastic surgeon will help you make an informed decision.
I hope this response gives you a clearer understanding of your options for a breast lift, with or without implants. Wishing you the best with your decision and procedure.
Sincerely,
Dr. Katzen

Dear AngelaLenorie,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Dear Angela,

Thank you for your email, photographs, and details of the previous procedure. Based on my professional opinion, I would advise against breast implants, as the risk of bottoming out would be quite high. Instead, a bilateral breast lift/mastopexy with auto-implants (utilizing the fullness of the lower part of your breasts to improve the upper pole fullness) would likely be the most appropriate option.

I recommend finding a skilled plastic surgeon and discussing your wishes and concerns to ensure you make the right decision.

Best regards,

Hello @AngelaLenorie, thank you for your question. It is possible to reposition and improve the shape of the breast with minimal scarring by raising the base and improving the overall proportion. This will create overall harmony. The lift will be made through an L shape incision scar rather than an anchor with BraLIFT technique (Anatomical Lift Augmentation) can be performed to reposition the mammary tissue and enhance projection of the upper pole and media areas. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes!

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

Implants are the only way to achieve upper pole fullness reliably. In either a revision or primary breast lift, mesh to secure the implants will make dropout much less likely.

Hi, thank you for sharing your question. You have pseudoptosis which can be corrected like in your second photo. An in person consultation would be helpful for you to get all of your questions answered and discuss options.

Your breast lift was inadequate. 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.

You can reposition your breast tissue, but you will not have much upper pole fullness without implants. If you do get implants, place them behind the muscle for better upper breast fullness and more support for the implants.

Thank you for your question. I do think you have a few options. Based on the surgical details of your first lift, you may be a candidate for a breast lift with autoaugmentation. This is where instead of removing tissue from the lower portion of the breast, it is moved higher on the chest wall to try to give you some fullness. This can sometimes be combined with fat transfer to help increase the volume of the upper pole. That option would somewhat simulate the move you are doing with your hands in the second picture. Alternatively, you could have an implant placed. This is likely the most predicable way to increase your fullness up top but does come with some risks including the risk of bottoming out as you mentioned. It is good to have an idea of what you may want to have and then go through all the pros and cons with a surgeon who is able to examine you. That will give you the best chance of achieving your goals with one surgery.

En tu caso te recomiendo con implantes, si lo realizamos con tu propio tejido, el tamaño actual de tus senos va a reducir, puede ser un implante no muy grande, detrás del musculo, retirar el exceso de piel que tienes para reposicionar tus areolas y queden centralizadas y con mi tecnica de cuñas, centralicemos y protectemos tus senos.