Right Implant Sits Significantly Higher, How Many cc's Do You Recommend For My Revision? (photo)

My first breast augmentation was on 10/31/11. Submuscular, saline implants, 380cc, aerolar incision. My right implant sits significantly higher. When I recieve my revision I would like to go one cup size up. How many cc's would you recommend to achieve my goal? Should I switch from saline to silicone to prevent this again? Is it a good idea to a revision and up size at once or should I do two seperate surgerys? Also my nipple is naturally off center is there anything that can be done about this?

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nipples saline implants cc recommendation submuscular technique

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9 Doctor Answers | Asked by arm55

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Breast Augmentation revision

You have many different things that are "wrong" with your breasts. Obviously, there is malposition of the right implant but the left is also off center of the nipple. I would also like to know how and when the right implant got to its current position. It would be very helpful to see your original before pictures also. At any rate, you and your plastic surgeon need to sit down and try to decide each of the problems, why they happened and what can be done to fix them.... more

Implant Malposition, what is the best way to fix it?

Great question and pics for everyone to see, thank you. I do believe that results can be acheived in one operation, but it appears that you may have a capsulr contraction going on on the right, or hardeneing of the scar tissue on the right side? Changing the size or material of the implant will not neccesarily fix the issue but it may help. It is important to discuss with your surgeon what he believes caused the malposition issue and what he plans to do to correct it, unfortunately these... more

Breast Augmentation Revisionary Surgery Options?

Thank you for the question and pictures. I think you will be able to achieve the results you are looking for safely in a one stage operation. In other words, the breast implant symmetry and size of breast implants can be changed during the same operation. Exchanging from saving to silicone breast implants will not necessarily prevent recurrent implant malposition problems. In regards to breast implant size, it will be very important to communicate goals with... more

Right Implant Sits Significantly Higher, How Many cc's Do You Recommend For My Revision?

You have a problem with asymmetry ,and the submuscular implant position possibly causing a high riding implant on the right Asyou currently have saline implants ,you may want to consider adjustable saline implants This would give you the ability not only to change the size after surgery, but also to modify the shape I would also consider conversion to subfascial placement unfortunately Adjustable gel implants are only available outside the USA ,this would be... more

Breast Augmentation Revision

In my opinion, you will benefit from a revision procedure. I recommend patients wait six months before any type of revision and you're now at that point. Obviously, before pictures would be very helpful. Regardless, I do believe you can have better placement.

Breast revision

It is certainly possible to increase the volume of the implant and adjust the pockets, etc.. As for implant chioce saline vs silicone, it is really up to you.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Implant revision

There are several problems here, as already noted. Asymmetry, the variation in implant heights, capsular contracture and implants that are too wide for your chest. Larger implants will only worsen the last problem. I would focus instead on correction of the capsular contracture and creating symmetrical breast pockets. Switching from saline to silicone may be beneficial.

Consideration in impant revision

There seems to be some degree of capsular contracture on your right. Additionally,the implants are too wide. They should be centered beneath the nipple. I would have a thorough discussion with your surgeon prior to any revision.

The correction of the asymmetery should be the primary goal

The size of your breast implants are too big for your breast tissue and going larger will make the revision harder. Your left implant pocket is too medial and that causing your nipple to point side way. The position of the implant should be corrected over the right side.This can be secondary to the capsular contracture or incomplete muscle release. Please do not push your surgeon to go bigger. He or she will agree to it to make you happy ,but will have long term problem with larger implants. more