36 y/o interested in a breast lift with implant revision after 2 babies. Can I achieve my desired results? (photos)

Hi, thank you for sharing your question. You are a good candidate for implant exchange and breast lift. This will create a more youthful and projected result.

Your should be able to achieve your goals with a second breast lift. It would be very reasonable and appropriate to replace your implants at that time as well.

A revision procedure in your case would likely involve a discussion on whether you wanted to change the size and overall shape of her breasts. Revising your implants for a similar size implant would likely involve less of a lift procedure as her nipple seemed to be in the appropriate position on the breast. In this case a small amount of skin would likely be removed from the lower portion of your breast and potentially some additional materials used to help support the weight of the implants. If you wish to go smaller with your breast size, you may require slightly more of the lifting in conjunction with this in order to place your nipples in the appropriate position. This would require an in person consult to fully decide upon.
Mastopexy, breast augmentation, and breast revision surgery are all common procedures that I performed. Please see the attached link for more information from our practice.

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.

It looks like you want smaller too? Regardless, once the implant pocket and new implants are replaced, a full revision breast lift will achieve your goals. An important part will be to shorten the nipple to fold distance so that your nipples are so high riding.

You seem to be excellent candidate for lift and implant exchange. Lift will bring your implants slightly heigher what means that your nipples may stay in the current position, with asymmetry corrected. Hope this helps.

Hello and thank you for posting. Yes you can! It seems like you had good results to begin with so slightly smaller implants with a lift will get you great results. Plus asymmetry correction is easy once we are doing a lift. Pretty straight forward case. Just show your surgeon what you like and make sure to use a bit smaller implants.
Best of luck,
Dr. Miguel Mota

Judging by your photos, I would say you would need to redo the full lift and replace your implants with more projecting and cohesive silicone implants to give you the roundness that the wish photos have. It would help if you could obtain your previous operative report to see what exactly was done at your previous surgery. At times that is impossible because surgeons have to keep the records for 7 years, any how it would be helpful.

Hope that helps. Make certain you see a board certified plastic surgeon that has experience with breast revision surgery.

Lowering the nipples is not a great idea at all. And they look about right to me. The skin in the lower portion of the breasts can be tightened along the previous incisions and I think that would be an improvement. The implant size looks okay

Dear winningwithgoobear,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery