Unhappy with loose skin and breast size after liposuction and breast augmentation. What can I do? (Photo)

Question

I did liposuction on my abdomen, thighs and hips. I am going on 11 months and my swelling has come down. I was expecting a flatter tighter abdomen. What else can be done to accomplish this. I also did breast augmentation which I am not completely pleased. The reason on getting them is because I wanted my breast to be more of the same size. When I look at them one hangs down more and goes more to size. The look I was going for was a natural look. Am I being to picky? Need a 2nd opinion

J. Timothy Katzen, MD, FACS · Answer

Thank you for sharing your concerns post-surgery.
Breasts:
Your results appear natural. A re-evaluation can help determine if adjustments, like a mastopexy or change in implant size, are needed to address any asymmetry or dissatisfaction with size.
Abdomen:
A detailed consultation is essential to discuss your concerns and explore options, which could include additional liposuction, VASER hi-def liposuction, or potentially a tummy tuck, depending on your specific needs and skin condition.
Next Steps:
I recommend discussing possible revisions with your surgeon to decide the most appropriate steps moving forward.
Wishing you all the best in your journey to satisfaction and well-being.
Sincerely,
Dr. Katzen

Carmina Cardenas, MD · Answer

Most likely your breast was saggy before the surgery and After the augmentation only became saggier. You are candidate for a Major breast lift and reduction, areola size reduction, medialization of the right areola-nipple complex. So the surgery you need is way more extensive than just implants. 
Regarding your abdomen, even though is not seen completely on your photos, most likely you are candidate for Tummy Tuck instead of just liposuction. Saggy abdomen are not fixed with just liposuction. 
Be encouraged!! You will look astonishing after the correct procedures. 
Dr. Cárdenas

Malik Abaci, MD · Answer

Dear stell78
Thank you for your question and photo aproved. I need more photos about your tummy. Ont he other hands you need breastlift and/or implant change. İf you need more informations feel free to contact with us. Hope this helps!

Connie Hiers, MD, FACS · Answer

You need a lift to make your breast more symmetrical. An augmentation alone will not do this. I suspect, most of your abdominal fullness is internal and can be reduced by losing weight.

Camille Cash, MD · Answer

I'm sorry you are unhappy with your results.  From the submitted photo it appears a breast lift is needed.  This will raise the position of the nipple and remove excess skin as well as downsize the areola.  For the abdomen, if you were unhappy with the results of liposuction it could be the current contour is due to either needing a tummy tuck or from visceral/internal fat.  I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns and learn more about your options.

Sergio Sanchez-Bailon, MD · Answer

You should always wait 1 year to see the final results while waiting for the swelling to completely finish as well as the skin redraping. On your picture I can’t evaluate the abdomen, the breasts do have ptosis and are hanging below your inframammary fold. If you do want them to be higher on your chest wall and have a perkier and younger look you require a breast lift. In order to have a better assessment you should take more photos and have a virtual or in office consultation.

Mats Hagstrom, MD (license on probation) · Answer

Cosmetic surgical outcomes are generally based on two variables. The first is the patient’s candidacy for the procedure and the second is how the procedure. You understand, plastic surgery procedure we always need to see proper before and after pictures. without having a comparison of what you look like before, we have no idea what was actually done during surgery.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Most likely your breast or asymmetrical to start with, and adding implants typically does not correct asymmetry.
Consider reposting with a complete set of proper before and after pictures or schedule if you in person second opinion, consultations with other plastic surgeons in your community.
Best,
Mats Hagstrom, MD

Unhappy with loose skin and breast size after liposuction and breast augmentation. What can I do? (Photo)

Answers (7)

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