All efforts must be made to avoid or at least minimize the likelihood of revision breast lift in the future. For this reason, the surgery is generally reserved for normal weight patients who are done having children. It is important to note that pregnancy and drastic weight fluctuations can affect if not reverse the procedure’s results.
Despite best efforts, some patients require revision breast lift due to the following reasons:
- Inadvertent weight gain that leads to saggy breast and sometimes even tissue regrowth
- Pregnancy affects tissue and skin elasticity due to breast involution—i.e., enlargement and eventual shrinking after breastfeeding
- The continuous process of aging
- Asymmetry arising from the initial surgery. It may involve size or projection disparity between the two breasts, unnatural nipple position, asymmetric areola size, among others.
- Poor scarring due to improper wound closure, poor healing, or inherent susceptibility of the patient
- Poor breast shape and/or projection due to insufficient “internal” support to hold the tissue in place or use of incorrect incision technique
The approach that will be used in revision breast lift will vary depending on the specific reasons and the patient’s cosmetic goals. As much as possible, the previous incision techniques are used again to avoid additional scars, although patients who need a great deal of work—i.e., large and pendulous breasts—may have to accept longer or additional incisions to achieve optimal results.
The standard breast lift technique, which uses an anchor-shaped incision, remains the best option for women who need “more correction.” The scars go around the areola’s border, within the inframammary fold, and vertically between the nipple and the natural crease.
To achieve long lasting results, it is of critical importance to reshape and tighten the actual breast tissue than rely on skin [tightening] alone because over time it settles due to the effects of gravity and aging. Reinforcing the deeper structures of the breasts involves the use of dissolvable or permanent sutures.
It may be safe to surmise that most Los Angeles plastic surgeons use absorbable sutures, which often take 6-12 weeks to dissolve—enough time to promote strong tissue adhesion.
Occasionally, revision breast lift also entails incorporating the use of implants; this combo approach is particularly ideal for women who want to have more upper fullness in their breast. It is important to note that as stand-alone surgery, breast lift has no or very little effect on the area above the nipple.
Most surgeons these days recommend silicone implants to patients particularly those with skin laxity; this anatomical feature might increase their risk of palpability and rippling should saline implants are used instead.