Breast lift botch - what can be done to fix this situation? (Photo)

Question

What can be done to fix this situation?! One nipple is smaller, not circular in shape and higher up than the other side. I am so upset.

Ronald J. Edelson, MD · Answer

I would need to make measurements to know for sure but it appears that your breasts were not lifted as high up as they should have been. You also have some bottoming out of one side. A revision would be required.

Semih Yildiz, MD, FEPOBRAS · Answer

From the photos, there does appear to be nipple-areola asymmetry, with one areola looking smaller, less round, and positioned higher than the other side. Some asymmetry can improve as swelling settles and scars soften, so the timing from surgery matters a lot. If this is still early, your surgeon may recommend waiting until the tissues are fully healed before revising anything.

If the result is stable, there are revision options. Depending on the exam, this may involve areola scar revision, reshaping the areola, adjusting nipple-areola height, revising part of the lift pattern, or improving breast shape and volume symmetry with fat grafting, implant adjustment, or further lift work. The best next step is an in-person review with your surgeon or a board-certified plastic surgeon who does breast revision, with your pre-op and post-op photos available so the exact cause of the asymmetry can be identified.

Joel Patrick Maier, MD · Answer

I can see your concerns, symmetry and perfection is always our goal, but with two different breasts, it is difficult if not impossible to have perfectly symmetric breasts. Having said that, looking at where you are now, I would recommend a revision mastopexy, only this time, you have to remove tissue to create a more proportionate, lifted breast. You still have major ptosis. I hope this helps, thank you.

Daniel Barrett, MD · Answer

Dear jess3van,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

How long has it been since your surgery? It appears you still have some bruising. Generally speaking, please allow about 6 months of recovery before considering corrective surgery. If it has been that long, please discuss your concerns with your surgeon. Another breast lift may need to be performed to even out asymmetry and reshape your breast.

Jeffrey M. Darrow, MD · Answer

An in person consultation would be important to allow measurements of the skin distances on your breast to see whether the right breast, nipple/areolar complex could be moved upward slightly to more closely match the left side. In addition, it would be important to know whether the left nipple complex could potentially be enlarged during the revision 2 more closely match the right side. improvement could likely be made but exact symmetry may not be achieved.

Carlos Marciales, MD · Answer

You will need a secondary breast lift, reduction of your areola, the vertical scar it’s to long also you need to make that small.

Gary M. Horndeski, MD · Answer

Your nipple positions are asymmetrical and your breast volume is still too large. The breasts are still low on the chest wall and bottoming out. I recommend a repeat lift using 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. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief. 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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

The less round and smaller areola can be enlarged and made more round. You do have some excess tissue sagging on that side which can be lifted as well. Once lifted, if the opposite areola is still lower, it can be raised to match. Please discuss you concerns with your surgeon.

James Knoetgen, III, MD · Answer

If you're unhappy with the results of a breast lift procedure, whether due to unsatisfactory aesthetic outcomes or complications arising from the surgery, there are several steps you can take to address the situation:1. Consult with Your Surgeon: The first step is to schedule a consultation with your plastic surgeon to discuss your concerns. They may be able to provide solutions or recommendations for addressing the issues you're experiencing. Depending on the nature of the problem, they might offer revision surgery or alternative treatments.2. Consider Revision Surgery: If the issues with your breast lift are primarily cosmetic, revision surgery may be an option. A skilled plastic surgeon experienced in breast revision procedures can assess your situation and recommend the best course of action to achieve your desired results.3. Address Complications: If the botched breast lift has resulted in complications such as asymmetry, scarring, or loss of nipple sensation, your plastic surgeon may recommend specific treatments or procedures to address these issues. This might include scar revision, fat grafting, or corrective surgery to improve symmetry and restore sensation.4. Manage Expectations: It's important to have realistic expectations about what can be achieved through revision surgery or other corrective measures. Your plastic surgeon can help you understand the potential outcomes and limitations of any procedures recommended to address the botched breast lift.5. Seek Emotional Support: Dealing with the aftermath of a botched cosmetic procedure can be emotionally challenging. Consider seeking support from friends, family, or a therapist who can provide guidance, empathy, and encouragement as you navigate this process.Ultimately, the appropriate course of action for fixing a botched breast lift will depend on the specific issues you're facing and your individual circumstances. Working closely with skilled and experienced plastic surgeons is essential to achieving the best possible outcome and restoring your confidence and satisfaction with your appearance.

Breast lift botch - what can be done to fix this situation? (Photo)

Answers (14)

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