Roll of skin under my breast makes me miserable - what can I do? (Photo)

Thank you for your question regarding the role of skin under your breast. That makes you miserable. By examining your photos, it looks like you are correct. This is mostly a skin issue. This can be addressed with a reverse tummy tuck where incisions are made under the breast, we dissect down the abdomen, and pull up any excess skin. The incision hides nicely in the inframammary fold of the breast. This will tighten the entire upper abdomen. I think you could greatly benefit from this reverse tummy tuck. Thank you very much, and best of luck.

Begin by visiting with a board certified plastic surgeon near you for an evaluation. Depending if it's excess fat, skin, or both will determine the best procedure. If it's fat you can consider liposuction. Because it is a small area you may be able to do this under local anesthesia. If it's skin you can consider excision with a tummy tuck. If it's a combination you may be a candidate for BodyTite. This is a minimally invasive procedure that uses RF technology to tighten skin. Fat can be removed as well. It does not require general anesthesia either. I've included a video that I hope you find helpful.

I recommend standard abdominoplasty with liposuction and muscle tightening to remove extra anterior abdominal skin and soft tissue and optimize muscle position.
I would advise avoiding reverse abdominoplasty procedures (placing scar in the breast crease and cleavage area). The scars are rarely high quality, can distort your breasts, and often influence the clothing you wear.
As always, an in person exam is necessary to determine what will work best for you