Is it okay or can I get a second surgery to improve? (Photo)

As you can see, the anchor lift did not significantly lift your breasts high enough. At this time, I recommend explantation and lift 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 (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I would recommend tightening the implant capsule with sutures, placing an internal bra (Galaflex), and performing another breast lift. From the photos, it is clear that there is inadequate support for the implant in each respective pocket. In addition, there is too much excess skin/breast tissue. I would also recommend finding a surgeon certified by the American Board of Plastic Surgery. I would particularly recommend finding one with excellent experience in breast surgery.

Revision after an augmentation mastopexy
Typically it is best to wait 9 months or more after the initial surgery before attempting enter revision. This allows the tissues to stretch and settle into place and allows the tissues to soften and allow for additional surgery and healing.

In your photos it appears that you have a great deal of loose skin. The breast lift can be adjusted on both sides for overall better improvement. Possibly a different profile implant
If this is not the first revision and previous treatments have failed. Then I will immediately move to adding the addition of a Surgical mesh to help close and reinforce the corrected pocket. This will reduce the internal space and help prevent recurrence of the displaced implant. Implant displacement can be in any direction. Drop-out is one version where the implant is too low. This is sometimes confused with breast stretch where the distance between the nipple or areola and the inframammary fold stretches and increases this distance too much creating a sagging appearance of the breast. A Waterfall deformity is another variation where the breast tissue slides off of the implant leaving the implant in place but the breast tissue hangs off and drops, giving the appearance of sagging. Displacement toward the cleavage can create asymmetry or if more severe, a “Uniboob”, where one or both implants are crossing the midline giving the appearance of one breast.

Your lateral pockets can be tightened, but you may need mesh. You might have some excess skin and that can be excised at the same time. Do not go bigger for you will not support heavier implants. Long term, you would do better with smaller implants.

Hey there! Excellent question - based on your photos, I'd say that there was insufficient support for the size of implants used, especially given the appearance of your tissues. This is typically a case that I would recommend an internal bra like Galaflex as well as a smaller implant, though in a higher profile. This would allow the implant to remain higher and more centered while still giving you a full volume appearance. A revision would look to achieve this and you may consider this at some point in the future. Hope that helps!

When it comes to breast documentation, there are generally three variables that determine the outcome.
The first is the patient’s candidacy for the procedure. The second is a choice of implants in regards to size shape, and type.
The third is the surgeon ability to place the implant in the correct anatomic location.
breast lift is primarily based on surgeons skill and into some degree Patient candidacy.
In the end, the provider is responsible for the outcome of the procedure and communicating clearly each patient’s candidacy during consultations.
The choice of provider is the patient’s responsibility.
If you’re unhappy with the outcome and then talk to your provider about doing a revision.
My personal preference is to keep as much of the implant covered by the pectoralis muscle as possible.
This can lead to the implant riding a bit high, especially early after the procedure, but seems to protect patients from having problems bottoming out later in life.
Each provider has their own background, skill and experience.
Best,
Mats Hagstrom, MD