Smaller Breast After Augmentation Revision
- Asked by DIVA77 in IL
- 4 years ago
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?
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 considering revision again in my patients. Keep in contact with your surgeon and discuss your concerns.
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?
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 result. Wait it out and follow up closely with your surgeon. Good luck!
Recent Breast Implant Revision Reviews
Breast Implant Revision Photos
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 require. If not--post back here for further suggestions.
Bottom line: 2 weeks is too early to anticipate your results, and your surgeon is the best person to address your concerns. Hope this helps.
Web reference: http://www.elegantbreast.com
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. The size issue is difficult and i would continue to wait to let all swelling resolve. Your plastic surgeon will help resolve this issue. Try and be patient even though it is difficult
Revision breast augmentation will correct asymmetry.
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.
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.
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.
2 weeks is way too early to make any definitive conclusions. Your right side is still higher and it appears like the implants are the same size just in a different position. Without knowing more details about your surgeries and implants, I would advise you to be patient and let the right side come down more before jumping in for another surgery.
If you really are very concerned, get a second opinion from another board certified plastic surgeon. Ask around, get a consultation with a highly respected plastic surgeon in your area. Even if it costs you money to get a consultation, it may be money well spent to get another expert opinion.
Martin Jugenburg, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.