Is there anything I can do about the way my breasts look?

Thank you for your question regarding whether there is anything you can do about the way your breasts look. I appreciate your history and the pictures you provided.
To make your breasts look more perky, you need to add volume. Currently, the best methods to achieve more breast volume are fat transfer or a breast implant. Since you do not want breast implants, the remaining option is fat transfer to your breasts.
To reduce the size of your areolas, an areolarplasty, or areolar reduction, can be performed. This procedure is feasible in the office setting.
Another possibility is a revision anchor mastopexy or a lollipop mastopexy. A mastopexy will not only lift the breast but can also make them appear fuller and more perky. The downside of a revision mastopexy is a slight reduction in breast size. However, the upside is potentially perkier breasts.
I hope this helps to answer your question regarding what can be done about the appearance of your breasts and how to increase breast volume without using an implant.
Good luck.
Sincerely,
Dr. Katzen

Dear Resourceful920092,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello there,
This is a great question! An in person consultation is required to go into detail about possible options for you. Implant placement can be an option, but what may make more sense for you may be a revision of your breast lift with nipple/areola revision.
Best,Dr. Tanovic

Although your breasts have been lifted, I do see what you are saying about a continued droopy appearance. I think you could benefit from additional lifting and reshaping. This would require another anchor skin pattern approach. So essentially your current scars would be removed, the areolar diameter made smaller, and the whole breast envelope elevated and tightened. An implant would only add volume.

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.

Naturally your breast sit low on your chest and the bases cannot be moved. For more upper breast fullness, an implant placed behind the muscle can be added. Since you do not want implants, more fat can be added which will make you fuller, but will not raise the girls.

It would be helpful if we understood why you had your implants removed?
Re augmentation after explantation is not the best route.
To restore, volume in the upper half of the breast implants are ideal.
Re-argumentation after explantation is not always easy and straightforward. The capsule will now have shrunk significantly, and the scar tissue from the capsule may distort the shape of the breast if you get re-augmented.
Fat transfer can increase breast size by 1/2 cup when done correctly. It can potentially give one full cup on patient who are exceptional candidates when done by a very experienced provider. Unlike breast implants, which have a major impact on the shape of the breast fat transfer does not. Fat transfer leaves the breast, more or less, looking the same only being slightly larger.
To make an assessment regarding the outcome of any plastic surgery procedure we always need to see a complete set of before and after pictures.
You certainly have options and have had options. At this point your situation is sufficiently complex that I think you would be better served by scheduling in person consultations with plastic surgeons in your community or following up with your current provider.Best,
Mats Hagstrom, MD