How can I fix the upper pole of my breasts? They are so low (Photo)

Question

Hi! I had a breast lift with implants and strattice (built in bra) in 2015. Now almost 7 years later my breast are once again really low and sagging, yet my nipples are fine. I lost all upper pole. Considering removing implants and getting lift again but looking at before and after pics, this won’t help. What other options could help this problem?

Finny George, MD · Answer

Hi, thank you for sharing your question. You are right in saying that removing the implants and doing a lift may not give you what you are looking for with regard to upper pole fullness. It seems that you may have some glandular ptosis which will require a revision lift without moving the nipple position. If you don’t have a capsular contracture, the implants can stay where they are. An in person evaluation with a board certified plastic surgeon will help give you the best answers and treatment plan.

Alan Gonzalez, MD, FACS · Answer

Hello @momoftwinnies thank you for your question. Without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Chet Mays, MD · Answer

Thank you for your inquiry!  To create upper pole breast volume, you need to put something in there: an implant or fat.   We would love to sit down with you and review your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

John Michael Thomassen, MD · Answer

You may need another mastopexy procedure to lift again.  With large implants, recurrent ptosis is not uncommon, even with Strattice support, due to the weight of these implants.

Gary M. Horndeski, MD · Answer

The technique I recommend is 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.

Best Wishes,

Gary Horndeski, M.D.

George Bitar, MD · Answer

I agree with other doctors' answers. It's hard to examine the breasts with just pictures, but I understand your concern. At ten weeks post-op, you have a lot more upper pole fullness. This is likely a combination of residual swelling and a tighter skin envelop. With time and gravity, the implant appears to have settled in a lower position due to their weight. You may also have some glandular ptosis (or descent of your natural breast tissue) with the nipples in good position.

I would recommend a consultation. Questions to thinks about include size: would you consider a smaller implant, or even no implant at all? You may consider another lift. If you'd like another implant, I'd recommend not going larger as gravity may pull the tissues down again the second time.

Daniel Barrett, MD · Answer

Dear momoftwinnies,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your breasts naturally sit somewhat low and you cannot have high breasts. The bases cannot be moved. Your heavy implants have sagged some. You could replace them for something smaller, keeping them behind the muscle, and tightening your lower pockets.  Heavy implants sag.

Camille Cash, MD · Answer

From your photos it appears a revision is indicated.  You could consider a lift with smaller implants to give a more natural appearance and lifted look with the upper pole fullness you are wanting.  Begin by visiting with a board certified plastic surgeon near you for a consultation.

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