Y pattern breast lift

Question

I had a breast lift in 2020 that u has trouble healing from due to blood flow I was told. I ha a tummy tuck as well and had no trouble with that. I have never smoked and am super healthy. I know it's high risk to revise but I have retained areola in my lollipop scar and the lower pole of my breast has bottomed out. I am looking for a doctor that specializes in revisions that would not do the traditional method of again moving my nipple etc as I have been told that is too risky. Willing to travel

Chet Mays, MD · Answer

Thank you for your inquiry! You would be a great candidate for a revision and removing your retained areola. We would love to sit down with you and discuss your concerns. Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

Gregory Lakin, MD · Answer

Thank you for your question. Your history of healing issues related to compromised blood flow increases the risk of complications during revision surgery, especially if it involves additional manipulation of the nipple-areolar complex. Surgeons can use sutures, mesh, or dermal grafts to provide extra internal support and prevent future bottoming out. A Y-pattern lift or a tailored approach may help reshape the breast while maintaining blood flow. Your surgeon might reinforce the lower pole and redefine the breast shape without extensive tissue dissection. It is important to consult surgeons specializing in revision breast surgery and have experience managing complex cases involving compromised blood flow.

Erman Ak, MD · Answer

Revision breast surgery can be complex, especially with prior healing challenges due to blood flow. However, there are specialized techniques that can address issues like retained areola tissue and bottoming out without the need for traditional nipple relocation.
Options like internal sutures to reinforce the breast structure or scar revision to address retained areolar tissue can often be performed with minimal risk. In some cases, techniques such as fat grafting or mesh support (internal bra) may also be considered to enhance the overall result without compromising blood supply.
I recommend consulting with a surgeon who specializes in breast revision surgeries and has experience managing cases like yours. They can assess your unique situation and recommend a safe and effective plan tailored to your needs. With the right approach, it’s possible to achieve the improvements you’re seeking safely.
MD Erman Ak

Matthew S. Kilgo, MD · Answer

Hello.A mastopexy (breast lift) revision is not necessarily a high risk procedure. Certain risk factors may increase complication rates. Patient factors include active smoking, diabetes, hypertension, obesity and immune disorders. Other considerations that are patient specific include the distance needed to elevate the nipple areolar complex to the appropriate position, breast size and skin quality. Some techniques also have a higher incidence of wound healing complications, particularly those that require significant skin undermining. For best results, I would recommend consulting with a plastic surgeon certified by the American board of Plastic Surgery with extensive experience in revision breast surgery. I hope this helps.

Gerald Minniti, MD, FACS · Answer

Any breast expert specializes in revision surgery. Either repost with photos or go visit a few experts so that you can be told what is actually necessary to revise and therefore risk of additional circulatory problems.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs. However, I do breast revisions frequently. 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.

Farbod Esmailian, MD · Answer

Sorry to read about the issues but it does sound like it would be a relatively easy fix.  It would help if we were to see some photos, however from the description it is not an uncommon issue to have retained areola in the vertical if you had large areola pigmentation to begin with.  Some practices, like ours, will offer email consultation where photos are shared and a game plan is offered with the cost of the procedure.
Hope that helps.

Ronald J. Edelson, MD · Answer

Revisions for tummy tucks and breast lifts have much less risk of wound healing problems then the initial surgery.  There is always some risk but it is greatly diminished

Joel Patrick Maier, MD · Answer

If done carefully, and in a practitioner who has experience, you can perform revision mastopexy with success and minimal complications. You describe bottoming out, so resection of enough tissue in the lower half of the breast would need to be removed along with some additional skin to achieve a natural, proportionate breast contour. Usually, nipple necrosis can be avoided as the nipple has already been moved and the additional movement for revision mastopexy is not dramatic; but still a noted risk. I would not hesitate to proceed as revision will likely make you happy and significantly approach your expectations. Thank you for sharing.

James Knoetgen, III, MD · Answer

It sounds like you've had a challenging recovery, and I understand you're looking for a revision with a more conservative approach. Finding the right surgeon for breast lift revisions is crucial, especially when avoiding further risk to your areola or nipple area is a priority.
For your specific situation—where you have retained areola in the lollipop scar and the lower pole has bottomed out—it would be best to seek a surgeon who specializes in breast surgery revisions. Look for a surgeon who is highly skilled in managing complications such as poor blood flow or bottoming out. Some surgeons will recommend internal suturing or fat grafting to address the bottoming out, which can help restore volume without further moving the nipple. Others might offer options that focus on restoring breast shape and volume while keeping the nipple position intact.
Here are some suggestions when searching for the right doctor:
1.	Board-Certified Plastic Surgeons with Specialization in Revision Surgery: Ensure they have a proven track record with complex breast surgeries.
2.	Experience with Non-traditional Techniques: Look for a surgeon who specializes in techniques that avoid creating additional scars or disturbing the areola/nipple area, such as fat grafting or internal support sutures.
3.	Consultations and Personalized Plans: Revisions often require detailed planning and the surgeon's ability to design a personalized approach that addresses your unique anatomy and prior complications.
Given that you're willing to travel, there are top surgeons across the U.S. known for breast surgery revisions, such as those who are recognized for innovative approaches like no-scar breast lifts or reverse bottoming out surgeries. You might want to consult surgeons in well-regarded centers for aesthetic surgery or those who have extensive experience with challenging revisions.

Y pattern breast lift

Answers (15)

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