The Ups and Downs of Breast Lift Revision

Although cosmetic surgery can give you a head start on the aging process, it doesn”t stave it off forever. Over time, even the best surgical results begin to age, and lifted breasts are no exception. Some mastopexy patients prefer to let nature take its course, while others, like many patients at my plastic surgery practice near Seattle, opt for a revisionary procedure to maintain their results. But how do you know when it”s time for revisionary surgery, and what are your options the second time around?

For most patients who have had a breast lift, it takes several years before they notice enough sagging to consider a second surgery. Sagging may occur in only one breast, creating an asymmetrical appearance, or in both breasts. If you”re unsure a revisionary procedure is appropriate for you, a consultation with a board-certified plastic surgeon can help you make a decision.

I often try to use the same incision from the first surgery in order to minimize scarring. Depending on the initial scar, however, this approach may not be sufficient to create a long-lasting lift. For example, a “lollipop” incision, which traces around the areola and down the breast to the inframammary crease, can sometimes yield a “bottomed out” appearance, which occurs when there”s too much tissue below the nipple. In such a case, I might choose a different incision for more extensive correction.

In some cases, adding implants to a revisionary surgery might be the best way to enhance the size, shape, and position of the breasts.

If you suspect it might be time to consider a revisionary breast lift, talk to a board-certified plastic surgeon who has plenty of experience with breast enhancement. He or she can help you make a decision that”s sure to satisfy you for many years.

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