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Deformed Breast Implant 3 Weeks Post-op

asked 1 year ago by Bellazumba in Orlando, FL
Latest answer by John P. Di Saia, MD
Question viewed 1,702 times
Tags: saline implants, 1 month post-op, 550-599cc, submuscular

I am exactly 3 weeks out from a breast Augmentation, and crescent lift on my Right Breast. I did submuscular saline, 550cc on Right, and 600 on the left. My concern is very obvious, as I am attaching a photo. Please provide your best advice. I am doing my massages, and taking Vitamin E 400iu bid. I am extremely concerned as the right breast has not changed since my surgery, and not seeing any improvement. I am so upset I don't even want to look at them right now. Thank you

16 answers to Deformed Breast Implant 3 Weeks Post-op

Reasons for Disappointing Breast Augmentation with Lifting

Most of us would agree that to get the best result, a worker needs to - clearly understand and plan the job before him - select and use the proper tools - Use the ideal technique for THAT situation While your pictures are useful, they were taken in a mirror (are flipped R=L) and we are missing the crucial BEFORE pictures. You are ABSOLUTELY right that your " concern is very obvious". One of the breasts shows a VERY high breast implant (from your wall... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

To lift or not to lift (the breast), that was the question...

Patients often come to the office looking for breast augmentation thinking that a big implant will give them a bit of a lift and augmentation. The truth is that if you have a sagging breast and put a large implant in, you will end up with a bigger sagging breast. It seems that you and your surgeon chose to try a very small lift and large implants when the amount of sagging probably would have been better corrected with a more complete lift. Now that you find yourself in this situation,... more

Adam Rubinstein, MD
Miami Plastic Surgeon

Your crescent lift didn't solve your ptosis problem.

At 3 weeks, you are still early in the healing process, and I would hope to see some implant position improvement as time goes by. But that assumes you didn't have much bleeding inside your pocket (to cause early capsular contracture), that your surgeon performed adequate inferior pocket release, and that your implant size is adequate to fill all your loose breast skin. That is a fair number of assumptions! Any one of them could cause your result to continue to be bad, and... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

You will need revision

The pictures shows that your implants are under the muscle and your breast tissue falling off the implant. I would say that you had the wrong surgery. You have moderate ptosis and your surgeon tried to give you the lift and enlargement at the same time and it failed. I see a lot patients with same pre op issue and when I discuss the need for the lift,patients do not want scar and they find another surgeon to do the surgery.They usually come back to me with same problem as yours later .... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implant results

Thank you for including pictures. I'll do the best I can with the pics provided. You may consider posting preoperative photos. These are essential in analyzing results if available. It looks as though the left breast has the classic "Snoopy Deformity". the term "Snoopy Deformity" is used to refer to the profile appearance of the patient’s augmented breast, when the breast tissue is sagging or ptotic, the nipple is too low and... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Likely Solution: Smaller Implants Plus More Involved Breast Lift

Hello, You have distortion from too large a pair of implants and inadequate lifting. Crescent lifting is only a minor touch and will not change shape much. It looks like you probably had tuberous breasts and have had correction with a technique that didn't do much for you. I'd need to examine you to be sure but would likely down size your implants and perform a more involved lift to improve your appearance. Best Regards, John Di Saia MD more

John P. Di Saia, MD
Orange Plastic Surgeon

A revision is more than likely to be necessary.

Based on your postoperative photos, I see why you are concerned. The implants are in poor position. The left breast is essentially falling off the implant. Also, these are large implants and appear too wide for you breast width. BEFORE photos are imperative in a case such as yours to understand what the initial concerns were and what you needed for them to be corrected. The bottom line is, although some improvement may occur, a revision surgery will be required to correct this. more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Post aug

You are only 3 weeks out and they may drop.i would wear a breast strap across the top of my breast and massage a lot.they may drop.

Robert Brueck, MD
Fort Myers Plastic Surgeon

Breast implant issues

It would be nice to see pre-ops and examine you in person. You should go in to see your doctor and discuss your concerns. It is still early post-op.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant positioning issues

You did not provide any pre-op photos - so this is based purely on your post-op photos and description- but my bet is that your implant diameter greatly exceeds the space within each breast - which resulted in an elevated implant.

Scott Sattler, MD
Bellevue Plastic Surgeon

BBA Revision

I would suggest that you schedule a consultation appointment with your surgeon to discuss your concerns. If you have lost confidence in your surgeon, seek other opinions from BOARD CERTIFIED plastic surgeons. Check with your OBGYN or primary care physician if you need a referral as these physicians see the results of specific plastic surgeons. Best of luck!

Christine Sullivan, MD
Columbus Plastic Surgeon

Deformed Breast Implant 3 Weeks Post-op

Because you are still relatively early post operative, I would recommend that you consider placing a breast strap over the breast (the one with the higher implant where the breast tissue is loose over the bottom of the implant). Proper placement is mandatory, so the strap can put enough pressure over the top of the implant. Sometimes this can assist in streching the capsule surounding the implant enough for the implant to "drop". This will take diligence, wearing... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Although it is still early, a second operation looks likely.

The problem that you are having is the exact problem that I try to avoid with my patients through our discussion at the pre-operative visit. There are two issues going on here. The first is that the breast implants are still a bit too high. High implants are common (and to some extent almost universal) immediately following a submuscular augmentation. The implants usually take about one month to descend. The second issue pictured in the photos is that of breast gland ptosis. Most women... more

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Revision breast augmentation works.

Hi. Of course, don't do anything for several months. But I am sorry to say you will need a revision.in both breasts. It looks like the shape can be improved, and they are probably too big. I am afraid this will not correct o its own. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

"Deformed Breast"

Hi Bellazumba, Thanks for the photos. Preoperative photos would be helpful if available. You state you are concerned with the right breast but your concerns are not obvious in the photos. A description of your concerns would be helpful. I have more concerns with the left breast. The implant on the left side appears high in position in relation to the breast mound and the breast tissue is falling over the implant. This condition probably... more

Todd B. Koch, MD
Buffalo Plastic Surgeon

Deformed Breast Implant 3 Weeks Post-op

Sorry for your issues and thanks for the photos. At times the decision of the "correct" operation is a choice between you and your surgeon. Appears something was lost in translation. Unfortunately you will need another revision. Seek many opinions.