Did my breast lift fail? (Photo)

No, your lift did not fail. I believe you had a misconception regarding the lift, or it wasn't explained or understood well. Your breasts settled to where the "foot print" of your breast is. You can best see this on your preop photo. The top of your breast on the chest wall, is where you see the indentation if you would draw a line from the armpit to the lateral border of the breast. To raise the "foot print" you can have an implant placed (which you do not favor) or have fat grafting to the upper poles of your breasts and pectoralis major muscles. Talk to your surgeon if he/she is experienced with fat graft techniques to the breasts or seek a second opinion. Good luck.

Thanks for the question. After 6 weeks your surgery area is totally healed. In my opinion you should contact your doctor and searching better results. I wish you all the best.

 For the time being I don't think there's any problem. The position of the areola is fine and the distance from the areola to the crease appears to be the proper length.

Thank you for your question.  Your breast lift did not "fail".  Your breasts look significantly better now than they did before your surgery.  Your nipples have been elevated to a more youthful level.  You do not need to worry that your breasts are going to drop back down to where they were before surgery but you do need to accept the fact that gravity will always cause the breast volume to fill the bottom portion of the breasts unless you get a job on a space station.  If you do not want implants then you need to be satisfied with what your result and use a push up bra to get the look of more upper pole fullness.  The only other option to consider would be fat injection to add volume to the upper poles of your breasts.

Given the volume of breast tissue, expecting perky breasts by simply repositioning the areolas and excising some excess skin may have been unrealistic. I would not call this a failure, as I see a rather dramatic improvement in breast and areolar position. A minor touch up might improve the scar on the left side (assuming this is not a mirror photo), but a nice result. If you want more projection, you well need to consider implants or fat grafting.  All the best. 

as it achieved everything a mastopexy is supposed to... specifically more fullness on top and an elevate nipple complex.  Depending on technique, some procedures endure time better than others.  Bottoming out is a known risk of this procedure and if you're compulsive about this, you can measure your nipple fold distance every so often to see if it is changing.  When this happens, there are usually simple fixes that can be done in the office.  But to reiterate, your mastopexy is not failing.

Breast lift is done in many different ways but there are two different techniques which determine the longevity of the lift:   1. Dermopexy ( removing only the redundant  skin  and suturing the wound edges back together ,thus  creating a vertical lift)which is simpler and usually doesn't give  a lasting result.2. Parenchymal lift ,which elevate the glandular tissue itself and secure the lift by creating an internal brassiere, not relying on the skin for supporting the breasts.If you want a long lasting breast lift opt for the parenchymal lift.

  Your breast look much better now than in your pre op photos. Your nipples have been elevated to a more youthful level. You do not need to worry that your breasts are going to drop back down to where they were before surgery but you do need to accept the fact that gravity will always cause the breast volume to fill the bottom portion of the breasts.   After you have healed, discuss your final result with your surgeon.

You look like you had a lollipop or sometimes called a vertical lift. At 4.5 months you have settled into the near final result. The only way for a lift patient to get upper pole fullness (if that is what you mean by "perky") is to have implants when there is very little breast tissue to work with.