Breast Implant and Lift Revision

Q: Dr. Eppley, I am interested in a breast implant and lift revision. I got breast implants with a lift six months ago. My biggest issue now is how they look when I bend over. That was the whole reason I got implants. I nursed for a year and went from a D to less than an A. They looked very odd and fleshy. Now I am much bigger and they still look fleshy and saggy.

A: Thank you for sending your pictures. While I have no idea what you looked like before your breast surgery, you have a reasonable breast lift and implant surgical result. The implants may be slightly high or the lift is slightly low and one could argue for some improvement by adjustments of either one or both. The implants could be lowered or the lift can be redone to move the nipples higher up on the breast mounds and tighten some more breast skin. But either way, it is common and expected that when you bend over the natural breast tissue will fall off/pulls away from the implants. That occurs in most breast augmentation results whether they have had a lift or not. Expecting the implant and breast tissue to move together as a unit when you bend over is not a realistic result for most women.

Dr. Barry Eppley

Indianapolis, Indiana