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What Breast Revision Do I Need? (Photos)

asked 8 months ago by nov2010 in San Diego, CA
Latest answer by Andre Aboolian, MD
Question viewed 341 times
Tags: capsulectomy, drop, transumbilical (TUBA), TUBA

TUBA 11-4-10 My doctor said CC at 5/6 month post. Now it seems softer but wont move upward like the other one but hurts on the bottom. no bra hurts. I have to wear at least a tight sports bra but wearing normal bra or push up bra hurts even more. It looks funny with or without a shirt.. Can I please get an opinion. Is it even CC or something else? My Dr says a capsulectomy and reopen the top pocket. Is that all or he is omitting some part of it? What is a cost I can expect?

12 answers to What Breast Revision Do I Need? (Photos)

Implant asymmetry

I think that an exam is key to figure out what would benefit you. It doesn look like the right implant is a bit high and the left is a bit low.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast aumentation revision following TUBA

Hi. It does appear that you have 2 problems. The right implant capsule is too high and the left too low. To correct this problem, you would probably benefit from a capsulotomy on the right to lower the pocket and allow the implant to sit in the center of the breast and not the upper pole. On the left side, you will need a capsulorrhaphy to reduce the size of the capsule and place the implant in a higher location within the center of the breast. Unfortunately, TUBA is not an option at this... more

Richard Chaffoo, MD
San Diego Plastic Surgeon

Breast asymmetry after TUBA

The left implant looks as though it is too low or bottoming out. Implant malposition (the implants not exactly where you want them to be) is a problem with the TUBA approach. From your belly button, the implant must be placed through the breast fold which can cause it to drop - that's what your left breast looks like. I would recommend repairing this fold, which will leave a scar at your breast crease but will greatly improve your overall results. Good luck! more

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Breast revision

Your left breast implant looks too low, down and out. You need a tightening of the implant space (capsulorraphy). If it doesn't move easily up and towards the inner area you will need a capsulotomy to open up the space. You will have better success through an inframammary approach (beneath the breast - in the crease). I sort of think your right implant is a bit too high, and this could be lowered, but that is just personal preference.

Ronald Schuster, MD
Baltimore Plastic Surgeon

What Breast Revision Do I Need? (Photos) Answer:

From your description I can’t tell which breast is painful to you but to me your left breast (the lower one) looks more normal. The nipple is centered pretty well in the middle of the breast and you are not artificially high on that side. My suggestion would be to leave the left side alone (harder to raise an implant anyways) and open the capsule up on the right at the bottom, not the top. I know it’s too late but, this is a problem with TUBA & its difficulty in accurate... more

John J. Corey, MD
Phoenix Plastic Surgeon

Breast augmentation revision

Thank you for the question and picture. Based on your picture and description you may benefit from right sided capsulotomy/capsulectomy and left sided capsulorraphy (internal sutures to repair inferior and lateral breast implant displacement), unless you are pleased with left breast implant position. Please make sure your surgeon is a board certified plastic surgeon. I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Revision for both breasts best option

Hello, There is likely a pocket issue with both breasts with the pocket being under released at the bottom on the right and the pocket over released at the bottom and side on the left. It would be ideal to address both issues as opposed to making the right breast over dissected to match the left breast. A right breast capsulotomy/capsulectomy will be needed via an open approach and a left breast capsullorhaphy (repair) will be needed via an open approach as well. All the... more

Remus Repta, MD
Phoenix Plastic Surgeon

What Breast Revision Do I Need? (Photos)

This demonstrates the risks of the TUBA operation, almost a "blind" operation. You need "open revision" exposure to correct the many issues you have. See Dr Steven Cohen in San Diego.

Darryl J. Blinski, MD
Miami Plastic Surgeon

You will need revision through breast crease incision

TUBA is attractive to patients since there is no scar on the breast but lack the control of the breast pocket and implant position during the surgery. You will need bilateral revision. Your right implant is too high and left implant bottomed out.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

TUBA & Post-OP Implant Problems...

I agree with my colleague and others who steer away from TUBA because of the limited access and control it offers when something goes wrong. Not knowing without examining you, there is a possibility of capsular contracture on your right causing slight elevation of that implant. The more obvious problem is the "bottoming-out" you're experiencing on your left. This, in itself, will require correction using an approach other than your original TUBA. Contemplating a... more

Charles Gruenwald, MD
Baton Rouge Plastic Surgeon

Breast revision options

Without an exam I cannot say for certain but your left implant looks bottomed out and too lateral and the right one may have some capsular contracture. Neither can be addressed via a TUBA approach (why I don't use this in the first place). At least your left implant also looks possibly too wide for your body and going that big will increase your risk of future problems.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

There is more the cc going on....

You have or may have cc but you also have other problems (which would need an examination) such as bottoming out and etc....who ever you choos to go to for your surgery please check their before and after photo gallery to make sure they have done many of these typs of surgeries.