Can this lift be fixed? Should I wait 3 more months before deciding? (photos)

In my practice, we like for patients to wait at least 6 months for any type of revisional surgery since there can still be layers of swelling. In addition, after implant removal, there can be a seroma (or fluid pocket) where the implant used to live. If there is a seroma, then the breasts may look fuller than they actually will be long term. But the reality is that there are some patients that are disappointed after implant removal and mastopexy because they miss the upper pole fullness that the breast implant gave. Doing a mastopexy alone does not give upper pole fullness. So part of a plastic surgeon's job to to help with realistic expectations for results after this type of surgery. 

It would be a good idea to follow the advice of your surgeon and wait the 6 months. You’re most likely still recovering and your breast shape may change as your recovery progresses.

It is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift or breast fat transfer is made. This will give your breasts time to bounce back and your PS time to determine skin elasticity to assure the most predictable results and the type of lift needed. Fat graft take should always be optimized with the best blood supply available.

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good canidate for breast lift with small implant to get projection.is recommended if you get a consultation personal with a plastic surgeon to determinate how many cc do yo gona need and what type of technique is much better in your case.

Hello,
Thank you for your question. I agree with your doctor to wait additional 3 months. There would be some molding of the skin during that time, however it is not significant. But unfortunately you need to wait that long to see what the final outcome is before thinking about any revision procedure. Good Luck!

Thank you for your questions and photos.  I do believe we will be hearing from more patients about results after explant/lift.I completely agree to wait another three months (total 6) to determine if any revision surgery is indicated.  Minor revisions are not unexpected when breast skin has been stretched by implants for years.  Explant and lift at the same time is sometimes tricky.  I personally tell each patient of the possibility of a second procedure if needed at six months.  Luckily, most are minor revisions.So, hang in there and give it more time.  Your result looks great so far.

It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
Following removal, one can expect:
-Loss of volume- Not an exact correlation between pre- and post augmentation due to the changes over time. You may be bigger or smaller than you remember.
-Ptosis/sagging-Ptosis develops over time and may be worsened by the presence of an implant. If a patient has pre-explant sagging, removal is likely to worsen this to a certain extent. If there is no ptosis, it does not necessarily mean there will be no ptosis after removal.
-Skin laxity/stretch- There is inherent skin elasticity which will allow for some measure of snap back. However, the greater the volume differential pre- and post- the more likely there will be excess skin.
In my experience, it is usually a safe assumption that there will be some changes post removal which oftentimes may necessitate further operative intervention (i.e. lift), however this is often a function of size and length of time post op. Small implants which have only been in place for a short period will lead to an improved response/recoil post removal.
With regards to your specific question, I would allow for 6 months of healing before considering revision. That will allow adequate time for settling and stabilization.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
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Dear  Sunshine10pn,
I understand your concern and it is quite normal to be concerned about the outcome following a breast lift surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There won't be much in the way of change, but your tissue will heal. Do remember that the implants stretched and thinned your own tissue and did provide a lot of volume which now has been removed. You can consider a lift for better tightness or a fat transfer for some added volume.

Hello dear!!
Thanks you for your question. It is my pleasure to help you with your concerns.
You can be your own best version, and you can definitely achieve amazing results with plastic surgery in order to improve your breasts. For you, I recommend an anchor incision breast lift, for perkier, youthful breasts. No implants are needed.I would recommend to wait six months between surgeries, but remember that all depends on your health and lab tests.
I suggest you to make an appointment with a board certified plastic surgeon for a good evaluation and to talk about your goals.
I hope this is helpful.  Good luck :)