Do I Need a BA Revision? Bottoming Out, Hypertrophic Scars, Muscular Distortion & Asymmetry. (photo)

I am 27, 116 lb, 5'7" & had BA surgery 15 mths ago. Got inframammary subpectoral 260cc silicone implants & went from small B to large C. My questions are: 1. Am I bottoming out? 2. Is the placement of my pockets and implants correct? 3. Do my nipples point excessively upward? 4. Are my scars hypertrophic? 5. Is my muscular distortion excessive? 6. Are my breasts asymmetric? Considering going to a PS for corrective surgery and would appreciate any feedback from all you Pros! Many thanks!!

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9 Doctor Answers | Asked by MountainGirl in Canada

Doctor Answers (9)
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Revisionary Surgery Candidate?

Thank you for the question and pictures. It is clear based on the pictures that you will benefit greatly from revisionary surgery. Your implants are both inferiorly and medially malpositioned. These problems can be fixed by altering the breast implant capsules internally using internal sutures (capsuorraphy). I would suggest in person consultation with a board-certified plastic surgeon well experienced with revisionary breast surgery. Best wishes.

Bottoming out - breast augmentation revision needed

You unfortunately are correct in your appraisal of your post operative results. Based on your photos, you have significant bottoming out both inferiorly and infra-medially. This is exacerbating the lateral projection of the nipple/areola, though not the sole cause of it as they likely projected outward prior to the procedure. In general, the normal distance between the base of the areola and the infra-mammary crease should be between 5-7 cm, depending on body type. In... more

Breast augmentation revisions

Revisions are a difficult question to answer even with good photos as you have. The key is always to identify the problem, what would be the correction, and is that reasonably likely with a revision. This is mostly a double-bubble problem and a good example of where going by cc's alone is not useful. One would think that 260 cc's would not be too big and cause distortion problems but it depends on the dimensions of the implant relative to the breast and Dr. Stephenson may... more

In Need of Breast Augmentation Revision!

Thank you for the photos. I believe the root of the problem is that your implants are too big. There size has cause some bottoming out which can change the position of the nipples. The large implants require a large pocket and thus the implant is below the native fold and accentuating the free edge of the muscle during animation. The scar quality could be a better but many factors play into that. You should consult a board certified plastic surgeon to discuss your... more

Breast Augmentation Revision

I agree completely with Dr. Haeck. You have a difficult problem and many variables need correction. Are your implants shaped implants (style 410 or CPG) or round? As Dr. Haeck has outlined, a revision will require removal of your implants and extensive modification of your pocket and new implants likely. You should ideally talk to your original surgeon first about your concerns. Good luck.

Your breasts need a complete makeover

Yes to all your questions. Your pocket is too low and your implants are too far to the middle. This gives the very distorted look you have. Without examining your breast I cannot tell if you have capsular contracture but if your breasts aren't soft and squishy then this is part of the problem too. This is not an easy problem to fix and if you change surgeons this could end up costing you more money than you paid for the original surgery. The easiest part of all... more

Revision Surgery for Bottoming Out Breast Implants

Although an exam would be required to offer a specific opinion in your case, it would appear the the main issue you face is bottoming out. This is the reason your nipples are pointing up as the implant is too low. Therefore the appropriate treatment would be to reconstruct your inframammary crease in its original position (for example using an internal Ryan procedure). . Also helpful would be textured implants and placing them in a submuscular pocket to minimize re-bottoming out in my... more

Do I Need A Breast Augmentation Revisionary Surgery?

The pictures you present in this posting show the need for a correction of your double bubble (capsularptosis). This capsulopexy (lifting the capsule which is obviously down too far) can be done by one of several techniques. I don't believe you have medial displacement of your breast pocket because the medial portion of the pocket is determined by where the pectoralis muscle inserts into the sternum. Since your implants are under the muscle, the medial position of the... more

Breast revision

From the photos, it looks lik you need to have a reivsion. Ther breasts have bottomed out and they look like they have a double bubble. An in office exam is essential.