Smaller Breast After Augmentation Revision

I just had my right breast fixed 2 weeks ago because it never dropped. So now, my doctor made a new pocket and tacked it up! I am wearing a band to get it to drop, but now I'm so worried that my breast lost all its fullness and it looks a lot smaller than my left breast (a year old). You can see a huge difference between them. I am so scared.

Is this normal, or will I now need a bigger implant put in to even them out. I feel that it shouldn't have been tacked up, just the pocket pulled down. It changed my whole breast; What can be done at this point?

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14 Doctor Answers | Asked by DIVA77 in IL

Doctor Answers (14)
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Give it some time to relax

At only 2 weeks it is too early to tell what your result will be. It is usually the case though that when an implant rides high, the surgeon drops the pocket down and when the implant rides low the surgeon tacks the pocket back up. I am not quite sure why you would have had both performed. At this point, you looked tacked up but hopefully this will settle down over the next few months. Ask your surgeon to explain more clearly to you what was done and why.

Breast Augmentation Revision Often Causes The Breast to Look Smaller

Thank you for your question. Be sure to meet with your Plastic Surgeon and discuss your concerns. When revising a Breast Implant pocket to make the implant drop, the pocket holding the implant is made larger. Thus the same size implant has more room or space to move around in and the breast will look smaller. As you heal, normal wound healing most likely will cause tightening of the pocket around the implant and the breast will look fuller. I would wait 6 months before... more

Different Size and Shape After Revision May Improve

The differences between your breasts may even out with time. Tissues change in the months after surgery, including resolution of swelling and settling of tissues. You owe it to yourself to discuss your concerns openly and directly with your surgeon, and follow his/her suggested time frame. If you are still dissatisfied, get a second opinion, but give yourself 3-6 months before making any decision to have more surgery.

Tack up, pull down?

Diva, I will assume that by "tacked it up", you are referring to the breast itself. That would explain the "boxy" appearance of your breast. This "boxiness" is a typical result of a classic breast lift procedure. If this is the case, then it could cause a tightening and slight decrease in the size of your breast. The skin should relax somewhat over time and as the implant descends it may round out the base of your breast again. At 2 weeks it is way too soon to critically assess your... more

Communicate with your surgeon

Please contact your surgeon's office and express your fears. Being scared about your early result is not uncommon, but good communication is the key to sorting through the situation. Many patients are fearful of appearing confrontational or may presume that their surgeon will ignore their concerns. We work very hard in our practice to keep communication open and encourage patients to contact us with their questions. Be persistent in your effort and you should get the information you... more

Breast Revision- Give it time to heal

Revision breast surgery is one of the most challenging procedures plastic surgeons perform. Each case is ch alleging and customized. In your case i would ask 1. silicone or saline breast implants. was the implant changed 2. was a capsular contraction present and did he remove the capsule. This will make the breast slightly smaller. when I remove scar I always increase the size of the implant. The lower area was tacked up for a reason, it needs to relax... more

Revision breast augmentation will correct asymmetry.

Hi. I know this is not what you want to hear, But I am afraid you will need another operation. I don't know why your breast implants are not the same, but it looks like the right pocket needs to be lowered, and a larger implant put in.

Breast asymmetry after revisional surgery

When a breast pocket is "tacked," there is some relaxation that is to be expected over the course of healing. As you are only 2 weeks status post surgery, it is something to watch over the course of 2-3 months as the implant relaxes and "falls." Sometimes the waiting is the hardest part. Relax and keep your scheduled appointments with your plastic surgeon so you can have him/her make comment through your healing process- and yes, you are still healing. more

Smaller Breast After Augmentation Revision

Sorry for your distress. The best recommendation is to openly but calmly voice your concerns to your surgeon. He/she can help you determine the best course. You are early in the recovery from the surgery, and should not consider another surgery for 6 months post 2nd surgery. If your surgeon does not provide you an adequate explanation, you can consult with board certified plastic surgeons after the 6 month mark.

Breast Asymmetry

Dear Diva, it is extremely early to make any decisions regarding the eventual appearance of your breasts following the revision. You should wait at least three months and then have a candid discussion with your plastic surgeon about your concerns. Normally if one breast is high it can easily be lowered by a capsulotomy. However you say one breast was tacked up which sounds as if it was raised using internal sutures or a capsulorraphy. This will take some time to even out. Be patient. more