Why are my breast sagging after 2 months of mastopexy? (Photo)

Thanks for your question.  After a breast lift your breast shape will change for 6 months or longer, as the swelling resolves, the scars soften and the skin relaxes.  A secondary procedure could be considered in the future if you don't feel that enough of a difference was achieved.

Thank you for your question. It is too early to see the final result of your procedure, which can take up to 6 months. It is difficult to assess the sagging after a mastopexy with swelling and skin laxity, which may cause the breasts to drop. You may ultimately need a revision.

Breast lifts are difficult in that the end result is not usually seen until weeks to months later.  Unfortunately patients see the initial results, but over time swelling resolves and skin/soft tissue relax all allowing the result to drop a bit. The weight of what appear to be sizable breast implants certainly does not help this situation.  Vertical technique versus standard Wise pattern would not change this dramatically.  Personally I would have performed a vertical technique as well.  Give it at least 4 to 6 months and look at your concerns.  In all likelihood, any revision would require some skin excision, and not implant revision. Keep the communication channels open with your PS.

It appears that you also received implants at the time, and perhaps rather large implants. This might explain some of the changes that have occurred since surgery. As I look at the preop photos, I think I agree with your surgeon's assessment in choosing a vertical lift. And although I do see some asymmetry that merits attention and perhaps revision, I am not sure that it would have been different had an anchor lift been chosen. A six month wait for settling of the implants and breast tissue is solid advice before deciding about a second surgery.All the best. 

Once you are healed and settled (at about 6 months) consideration for revision mastopexy might be warranted.  Sometimes getting a perky result with someone that has substantial breast tissue to begin with actually involves not only an anchor type lift, but also removal of some of the breast tissue, replacing the lost volume with a slightly bigger implant than what would be used if no (or minimal) breast tissue was removed.  Your own breast tissue often works against you - it's weight, volume, and poor consistency droops the breast, even after a lift and implants.  Better to reduce that breast tissue volume, do an anchor lift, and rely on implants to provide the perkiness. 

Thank you for the question and the photos.  I am sorry that you are not feeling well about your breast lift results.  The skin of the breast can be thought of as a rubber band since the initial tightness that is achieved from a breast lift often relaxes a bit.  This is not to say that a perky breast shape cannot be achieved with a breast lift and implant when needed.  After your healing is done you will want to  communicate exactly what you are trying to achieve in terms of breast shape and appearance.  This will be important since each persons body has some inherent limitations and some of these limitations may make it difficult for you to accomplish exactly what your would like to achieve in one surgery.  A breast lift revision, with or without an implant pocket revision, may be a good option for you once you are healed if the results that you seek are achievable given your particular body characteristics.All the best,Dr. Remus Repta 

If you had large implants placed; this could be contributing to the problem.   You need to wait at least 6 months before considering revision lift and possible smaller implants and additional support from an acellular dermal matrix such as strattice.  Donald R. Nunn MD  Atlanta Plastic Surgeon