My Right Breast Never Dropped and Now my PS is Telling Me That He has to Re-Operate

BA performed 1 month ago. The next day my bandages were removed, and my right breast was significantly higher than my left. The doctor assured me that it would drop after the muscle relaxed. I'm 5 weeks PO and it's in same exact place. Stitches were removed 10 days PO and he showed me on how to do my daily massaging, which I did religiously. I also wore the strap 24/7. I had a checkup last Friday & he says that he has to re-operate. I don't think that he made the pocket big enough. Opinions welcomed!

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complication drop revision

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10 Doctor Answers | Asked by DDMarie in Concord, CA

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Don't rush into surgery without a plan

Make sue your surgeon explains to you what he thinks happened and what he plans on doing to correct it Sometimes reoperating is necessary but you need a careful plan as to: -when to operate -analyze your preop photos -analyze your postoperative result -have a detailed plan as to what will be done at the time of surgery It would be helpful to post a preop photo. Did you have asymmetric breasts prior to surgery and were your breasts droopy? Any surgeon will have their share of complications or... more

Implants sitting too high

To start, there is an obvious asymmetry of your nipples the right being lower than the left. That said I feel both implants are sitting a little high, right more so than left. To address this may require an inferior pole capsulectomy, removing the lower half of the capsule surrounding your implant to allow the implant to drop. At that point, in the sitting position, I would reevaluate the nipple position with consideration of raising the nipple in the form of a lift.... more

Breast augmentation

I'm sure you've read all the opinions below and can see the wide variety of causes for your situation. However, a hematoma is very unlikely as you would have had some visible bruising by now and I didn't see any in the photo nor did you mention any. A seroma is also highly unlikely as these are very rare in primary breast augmentation. It appears from the first photo that the implant is just sitting very high. A hematoma or seroma might look similar at the top but the entire... more

Implant not dropping wait prior to revision surgery

Miss/Mrs. DDMarie, I am also sorry to hear of your situation. Thank you for the pictures which allow us to better understand your experience. The right implant does appear to be higher than the left. It is very difficult for any physician to determine as to how a persons body will heal and thus revisions are sometimes necessary. Prior asymmetry in your breasts and/or the presence of breast droopiness before augmentation may be enhanced postoperatively if other... more

Implant issues

At least from the photos, it appears that the right breast implant is high. An exam is in order, but from the photo it looks like the nipples on both sides are pointing down a bit, and I am not sure if you need a small areola lift or repositioning of the implants on both sides.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

It is a challange to make a diagnosis by photo.

You did a great job posting photos demonstrating the assymetry following your surgery. Unfortuantely, there are many potential causes for this problem. The incomplete list of problems include acute fluid collection (seroma, hematoma), assymetry before surgery, technical aspects such as inadequate pocket dissection, malrotation of shaped implants, etc... Your definitive diagnosis witl necessitate at least one other examination by an experienced plastic surgeon... more

You had hematoma and capsular contracture now

Your immediate post augmentation is consistent with hematoma. You have developed contracture and will need revision. You may also need revision on your left side at the same time. Your left implant is high too and will be noticeable if you only fix the right side.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast Augmentation and Re-operation

Hello DDMarie, I am sorry that you are experiencing problems after your breast augmentation. Based on what you are telling me, you had an accumulation of fluid immediately after your surgery, probably blood or serum (hematoma or seroma), and it appears that you still might have some fluid that is still present. What is certain is that you have capsular contracture. It concerns me that you were told it was your muscle contracting, and that you were told to... more

My Right Breast Never Dropped and Now my PS is Telling Me That He has to Re-Operate

Thanks for posting your photos. More is going on than just a non dropped implant on the right. I'm concerned of a hematoma/seroma on the right. Please obtain additional in person opinions.

Revision Breast Augmentation

Dear DDMarie, I am sorry to hear about your condition. It appears that your right breast implant is too high, and a revision is likely needed to lower the implant. There are many reasons this could occur, including pre-existing breast asymmetry, pre-existing sagging, and inadequate creation of the implant pocket. I would discuss your concerns with your surgeon. Warmest wishes, Larry Fan, MD