Breast Implant Revision: Q&A

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Breast Implants REVISION at 3 Months? (photo)

Hi: I'm a 5'2 120 pounds with a 14 bwd. I went from 32AA to 34D with a 550 (L) and 500 (R) natrelle saline implants HP. I am 3 months post op but really concerned with the results. I think my breast is looking distorted and I would like to have your professional opinion and see if I need to have a revision right away to fix the problem. I understand it may take it up to a year for your breast to settle, but I also know that all cases are different. Thank you for your time.

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13 Doctor Answers | Asked by lovely28 in Fort Lauderdale, FL

Doctor Answers (13)
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Breast Augmentation Revision

The differences in your breast may simply be a reflection of the differences that existed pre-operatively. I always remind my patients that breast implants will amplify any minor differences in your breasts and this should be addressed before the procedure. Your breasts are sitting fairly low and this can be a result of placing large implants over the muscle both which increase the effect of gravity on your breast skin. Any rippling that you may see is not surprising... more

Breast changes following augmentation.

From the photos provided, I do not appreciate any significant "distortion." The implants have the appearance of sitting a little bit low on the chest wall with the right nipple slightly high. However, without preoperative photos, not much can be said regarding nipple position, implant position, or asymmetry. Implants of this size, particularly saline, can lead to issues with rippling and bottoming out. If you decide to have a revision, be sure to make a list of what you... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Breast difference

there is no harm in waiting and I would wait.From your p[hotos your right nipple seems a liitle lower.I would eave well enough alone for now.

Breast Implant Distortion?

I would not call your breast result distorted in any way although there are some differences between the two sides. While three months is an eternity to the patient, you should allow ample time for the breasts to settle and the tissues relax. You may indeed want a revision with more time, but it is too early to determine the final outcome and you don't want to chase a 'moving target'. Be patient and give your breasts and you time to adjust.

Breast Implants REVISION at 3 Months?

Great post op photos posted Where are the befores??? Very hard if not impossible to respond to your concerns without seeding the before photos. Based upon what has been posted I see very slight, slight differences between the breasts. In fact theory appear as a good/acceptable result. Maybe you need to consider allowing more healing time.

Concerned at 3 months

Dear Concerned, Altho there are differences in your breasts there does not appear to be distortion but I do think you will have some rippling if you don't already. I am curious what your surgeon thinks and am also wondering why not silicone at that size? I do think you have some assymmetries but you may have had them before and without those pictures it is hard to tell. I would see your plastic surgeon and express your concerns. If you are still dissatisfied I would... more

Breast implant revision

It would help to know whether the implants are above or under the muscle and whether your nipple heights were even to begin with. I would also recommend giving things more time to settle down and would not classify your breast as distorted.

Distorted breast

Thank you for the pictures. There are differences between the left and right breast but I would not use the term distorted. This result is acceptable and will continue to change. Also considering the very large size increase it would be good to have before pictures to compare. My advise to you is to wait an additional 3 months and then see you plastic surgeon and discuss very specifically your concerns if you have them at that time.

Revision after saline breast augmentation

You have a nice result with typical contours following saline augmentation. For improved contours, especially upper pole fullness, I would recommend exchange of implants to gel silicone. This will provide better upper pole fullness and avoid the wrinkling/rippling that is likely to occur over time if you keep the saline constructs. You might be a candidate for a dual-plane augmenttiton, with part of the implant under the muscle and the rest behind the gland. I... more

3 months postop concern

Lovely28: Am I correct in assuming that your HP Saline implants were placed on top of the pectoral muscles, given your original cup size? All implants but especially large volume saline implants do make a breast appear higher but also "stretch" skin, especially if they are placed on top of the chest wall muscles, as the skin isn't strong enough to resist the downward gravitational forces. Your right breast (500cc) appears to have a worse "stretch"... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Breast That Are Asymmetrical Before An Augmentation Are Asymmetrical After A Breast Augmentation

Your right breast was bigger to start out with which is why your plastic surgeon put in a smaller implant on the right. The natural breast, when they are larger, have more tissue behind the nipple. Breast implants can compensate for volume, but rarely compensate for projection. It is obvious from your pictures that although your right breast was bigger, the nipple was smaller, higher, and more to the outside (lateral). Your augmentation appears to have been done well... more

Breast Implants REVISION at 3 Months

The photographs do not suggest a distortion. Moroever, it would be important to compare your results to your preoperative photographs. Rippling may be present at this time, and should be discussed with your surgeon. Communicate your concerns clearly and calmly to your surgeon so he/she has an opportunity to address them. You may need a revision in the future, but the photographs do not suggest a surgical intervention at this time.

Implant Revision

It is difficult to tell how much more different your breast actually are as your left shoulder is higher than your right, that in itself can make your right breast appear lower. If your breast were different before surgery, they are usually different after surgery. compare the before and after photos. I doubt if any revision will correct the differences as corrections usally leave additional scars that also would be a problem.