Should my Breast Still Be This Low After Breast Lift?

It looks like you have a pretty nice result.  Because you are still in the early stages of healing your breasts will evolve quite a bit in the next six months.  Discuss your concerns with your surgeon at 6 weeks and then reassess your final result at 6 months.

Hello! Thank you for your question! The mastopexy (breast lift) procedure raises the breast, which ultimately provides a more
youthful and perky breasts. This is done by
removing the extra loose skin and rearranging the surrounding breast
tissue in order to reshape and support the newly formed breast. At
the same time, the nipple-areolar complex (NAC) is raised to the ideal position above the fold beneath your breast (the
inframammary fold) as well as being placed at the most projecting portion. Oftentimes with age or following pregnancy, the NAC
becomes widened and enlarged. This may be reduced in size during the
breast lift procedure.  Your NAC appears at a good position (above the crease of your breast) or at the mid-portion of your upper arm). 
It is common for the breast to lose its firmness and uplifted appearance over
time, which is also accentuated with age, pregnancy/breast feeding,
weight gain/loss, and gravity. This results in breast ptosis, or
sagging of the breast, with a “deflated” appearance. Women seek the
mastopexy procedure to regain the previous youthful appearance of her
breasts and women report increased confidence, self-esteem, and
femininity once achieving this desired shape and fullness. Breast lifts
may or may not be performed with implants – the implant would add
increased size but also greater fullness in the upper pole of the
breasts which creates more cleavage.I would discuss your
concerns with your plastic surgeon.  Revisions certainly may be considered - allow your surgeon
to examine and evaluate you and then go over which procedure(s), if any,
will be the right one for you. Best wishes for a terrific result!

         Your pictures
demonstrate a good result following breast lift surgery. It’s still early in
the post operative course and wound healing is a dynamic process. For this
reason, changes in breast shape can be anticipated over the course of time.

 

         It’s not unusual for
patients to have anxiety about their results in the immediate post operative
period. Concerns about size, shape and firmness are not uncommon. In your case,
the shape and position of your breasts are excellent. Since the inframammary
fold position can’t be changed, efforts to raise the position of the nipple
areola complexes even higher then they are currently positioned will result in
a deformity known as a sunrise nipple.

 

         In addition, the
firmness of your breasts can’t be changed without utilizing a breast implant.
This would obviously make your breasts larger as well.

 

         It’s important to
remember that your breasts are undergoing significant changes in the post
operative period and this is a frequent source of anxiety. For this reason,
it’s important to have good communication with your surgeon. 

Thank you for your question and photo.

Unfortunately, we've all been taught the same techniques for decades. For the past 10 yrs, the Ultimate Breast Lift technique has significantly improved the overall shape, perkiness, and longevity of the breast lift. The UBL does not require a vertical scar nor an implant to provide upper pole fullness and increased projection. The scars are well hidden around the areola and the natural crease of the breast. It uses an internal bra made from your own tissue to permanently anchor your newly designed breast to your pectoral muscles. This 'anhoring' ensures that the weight of your breast does not rest entirely on your skin. As we all know, skin is simply not enough to hold breasts in place. Skin will always stretch and give, especiallly with the added weight of implants and a weakened skin envelope due to a vertical scar. The old techniques do not make sense anymore. I realize you had your procedure performed some time ago, but women need to know there is a better alternative and new technology available to them.

Adding a larger implant will not work. The added weight will only make your problem worse.

I hope this helps.

Kind regards,

Dr. H

 

Many women want their breasts "higher" and expect a breast lift to accomplish this.  A breast lift translocates the areola and reshapes the breast.  It does not, however, lift the breast from the chest and drop in on a different area.  If the breast starts well below the clavicle, that's where it will start after a mastopexy.

SEE VIDEO FOR SAMPLKE LIFT WITHOUT IMPLANTS:
The problem we all have is defining a perky breast. We all know one when we see one. But how do you describe it and how do you achieve it? Twenty years ago, we stated that the nipple should rest halfway down the humerus (upper arm bone). However, that measurement, to which you refer, is no longer popular. The most commonly utilized standard is about 2 cm above the breast crease (where the underwire sits). According to your photos, it appears that you meet the criteria for a lifted breast. Your reaction is a common response to a breast lift procedure. Most women desire a breast that is higher on the chest, In reality, we, as plastic surgeons elevate the nipple on the breast gland.

Your nipples are in good position, and your breasts have a nice shape.  They are "lifted".  I think you are expecting to look very full in the upper half of your breasts, and that just doesn't happen after a breast lift except immediately after surgery.  If you had more of a reduction done, it might be possible to maintain more upper pole volume, but not with your current size.  Your skin quality also dictates final breast shape, so keep that in mind as well.

Breast lift (mastopexy) is a procedure which repositions the breast and nipple superiorly, removes excess skin and creates a more youthful breast. There are limitations to how much can be accomplished based on the patient's individual anatomy, such as the location of the fold under the breast.

 

The final position of your breasts will be ultimately noted after all the swelling has dissipated. Every patient heals differently but the majority patients should be able to see their final results approximately 6 months after their surgery area if at that time, you still feel that your breasts are still too low revisit with your plastic surgeon and discuss your concerns. To avoid this problem in the first place, make sure that you use a board-certified plastic surgeon with a great deal of experience in breast lift surgery. When discussing your breast with options, make sure that your surgeon is prepared to address the possibility of sagging after a breast lift. Ask your surgeon where the strength of the breast lift will come from. Also ask your surgeon how their technique will determine your ultimate goals

Breasts normally are a bit pendulous. They do not sit firm and high in the majority of patients. I think it is a bit unrealistic to think so. From the photos shown, the breasts look fine.