Could a breast lift or implants fix sternum appears to be sticking out of my chest? (Photos)

Your breast reduction has bottomed out.  All the tissue has moved inferiorly and you have none on the top of the chest wall.  You would benefit from a 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.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Hi! Congratulations on your weight loss- it looks like you are at a very healthy weight now! As you have experienced, weight loss often results in excess skin. Additionally, a normal occurrence over time with a breast reduction is for the lower pole (bottom of your breast) to stretch out and "bottom out". This was likely amplified with weight changes. I do not think that you will get the correction you desire with a lift alone. This would position your tissue higher on your chest, but would also make you smaller. I believe the best corrective option (to disguise your prominent appearing chest wall) would be a breast implant with revision of the bottomed out tissue under your breasts as well. If you would like to avoid breast implants, some (minimal) augmentation of the upper portion of your breast could be formed with fat grafting instead. Please be sure to seek out an in person consultation with a board certified plastic surgeon for further evaluation and treatment recommendations.

It appears that you have experienced bottoming out of your breasts following your breast reduction and weight loss.  The appearance of your breasts and chest may be improved with a breast lift.  Reinforcement with an acellular dermal matrix or mesh may be advised to minimize the risk of recurrence of bottoming out.  If you desire more fullness than you currently have with an unpadded bra and/or more camouflage of the sternum, you may consider adding volume using a breast implant and/or fat grafting.

Hi!
I don’t think there is any thing terribly wrong with your chest wall. You have a prominent manubrium (angle of sternum), which has most likely always been there but just become obvious as you’ve lost weight. A breast lift with or without implants may help to disguise it again.
All the best!

I think your breast reduction has bottomed out and you need a redo.  I think options include implants or revision mastopexy or fat graft for breast shaping.   You need to have an inperson exam to determine if your nipple position is too high though.  I do not however think you have a chest wall deformity.  Best Wishes!  

Dear PatientThanks for your question and photos. You would greatly benefit from a Breast Augmentation together with Fat Grafting and Transfer to the area.The best option for you is to set up several consults with Board Certified Plastic Surgeons who are also members of ASPS and ASAPS for added security and better results! Good luck!Dr Ron Soltero, FACSBoard Certified Plastic SurgeonMember ASAPSMember ASPS

Without a proper physical exam, I can offer some of the common solutions to this problem. The most conservative option would be harvesting fat through liposuction from one area and then fat grafting to disguise this area. You could also potentially have a breast augmentation with fat grafting and correction of the breast sag at the same time. In more extreme cases, decreasing the actual bony prominence can be done as well, but should be done with the correct provider and patient. I wish you the best of luck. 

It seems that your  sternal shape is version of normal. You could take some attention away from this area with an implant for upper pole fullness and correction of the bottoming out you have from your previous reduction surgery. I think the whole presentation would look quite nice.

Well certainly elevating the breasts with medialization of the tissue can certainly cover some of the skeletal prominence. Adding a wider diameter implant to bring the base width of the breasts closer and create better cleavage can also obscure some of the rib cage . 

Hello
and thank you for your question. The best advice you can get is from an
in-person consultation with a board-certified plastic surgeon. Breast
augmentation can enhance the breast volume and improve the appearance
in patients with chest wall deformities. Your breasts appear to have bottomed out, which means the distance between your nipples and inframammary crease is too long. You would be a good candidate for breast augmentation and correction of the bottoming out by removing some skin from the lower part of your breasts. My best advice is that you communicate your
goals and aesthetic ideals with your surgeon as clearly as possible and
trust your surgeon's skills and abilities to deliver what you are looking for.
Best
wishes and good luck,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

You would benefit from a lift to correct what appears to be pseudoptosis of the breast where the inframmmary fold is too low compared to the location of the nipples.  Whether to add volume with an implant is up to you if you would like to be larger.