The integrity & longevity of extra skin, does loose skin look good once filled out? (Photos)

Skin that is tightened will always stretch over time. However, this will affect you differently in different areas and with different surgeries. Abdominal skin, once tightened, should stay relatively tight over time as long as your weight is stable. This is because the hanging portion of the skin has been removed. In the breast, some of the weight is removed during the breast lift but much of it remains. Therefore, the breast tissue is more apt to stretch again over time. In general, any surgical lift (breast lift, facelift, neck lift) should last about 10-15 years. Adding implants, especially large implants, can increase this skin stretching and decrease the time between surgeries.

Thank you for your question. After the skin is filled up, as in the case of a breast lift with implants, the longevity of the skin might differ significantly based on several factors, including the quality of the skin, the surgical methods used, and the unique healing processes. The intended aesthetic effects can be obtained, and the stretched extra skin filled with implants can appear beautiful. However, the skin may stretch again with time, mainly if the implants are large since they put more strain on the tissue. Although the effects may persist for many years, age, pregnancy, smoking, and weight changes can all compromise the skin's integrity and cause further drooping. Speaking with a board-certified surgeon who can assess you to get the most appropriate advice and expectations is advisable.

Thank you for your question. After the skin is filled up, as in the case of a breast lift with implants, the longevity of the skin might differ significantly based on several factors, including the quality of the skin, the surgical methods used, and the unique healing processes. The intended aesthetic effects can be obtained, and the stretched extra skin filled with implants can appear beautiful. However, the skin may stretch again with time, mainly if the implants are large since they put more strain on the tissue. Although the effects may persist for many years, age, pregnancy, smoking, and weight changes can all compromise the skin's integrity and cause further drooping. Speaking with a board-certified surgeon who can assess you to get the most appropriate advice and expectations is advisable.

Some aspects of the skin changes with a "fill" or a "pull" as in mastopexy, or breast augmentation. The skin will "appear" tight or less wrinkly, but it's true texture does not change. Some factors are genetically determined and the process of aging in great part depends on it. When the skin that you are showing in your abdomen is so loose and you have stretch marks, the only way to have any improvement is to cut the extra skin and tighten the rest (abdominoplasty).
An implant in the breast will add weight to the breast and if the skin is weak and too loose, it will get worse with time unless some skin is removed (mastopexy) and some of the weight of the implant is supported by the muscle.

How the skin reacts is due to many factors, including genetics, previous stretching, and ongoing forces. In weight loss patients, the dermis has been injured and will soften in most surgical cases. If you have good elastic tone, the results are often well maintained. Recurrence of saggy skin is probably most often seen with breast surgery. When choosing to have a breast lift with augmentation, patients should consider that the result will often soften over time and further surgery may be needed, whether in 3 months, 10 years, or hopefully never.

Dear 16huck,
based on your photos, you look like a good candidate for breast lift and tummy tuck. YOu can get breast implants to improve fullness of breasts. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The skin quality will not change after it has been filled out. However, the amount of skin you have is excessive and you would benefit from a breast lift as well as a tummy tuck. The breast lift 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. At the same time or later, a tummy tuck can be performed. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Breast lift with implants can provide long-lasting results, but the longevity can be influenced by various factors such as skin quality, lifestyle, and aging. While the procedure can address sagging and improve breast shape, changes in skin elasticity over time may impact the long-term outcome.

It's essential to maintain a stable weight, follow post-operative care instructions, and have realistic expectations. Skin health, including its response to temperature changes, can be individualized. If you notice persistent concerns or changes, consulting with your surgeon for a thorough evaluation and advice tailored to your specific situation is recommended.

Best of luck !

During a breast lift and tummy tuck excess skin is removed. The remaining skin appears tighter. You will still continue to age normally, but with a healthy diet and regular exercise you can maintain your surgical results for a long time. I encourage you to visit with a board certified plastic surgeon near you to learn more.

The loose or excess skin is actually removed with the lift and tuck so that the skin that is left is much tighter. If you do not gain and lose weight nor get pregnant, you can maintain this new look for quite some time.