Unhappy with Results After BA? (photo)
- Asked by canadian286 in Calgary, Alberta, Canada
- 1 year ago
I am three months post op from my BA. I got 286cc under the muscle silicone implants. I am unhappy with the results, I feel they are still very flat on the top and are still tubular in shape. I spoke with my surgeo and he gave me 2 options. A. I can go through surgery again and replace my 286 implants with 350, but my surgeon doesn't think that would be good for my body frame. B. to get fat injections in the top of my breasts to fill them out. I don't know what to do if anything. Would love advice!
Unhappy with Results After BA
You do have some of the features of tubular breasts,Some of features that define a tubular breast are:
•Wide and puffy areolae
•widely spaced breasts
•high breast fold
•constricted lower pole (deficient tissue in lower half of the breast
•minimal breast tissue
•high breast fold
•narrow base of the breast\
From the pre-op photos, I see the first two features, with low set areolae, also a common feature.
I find myself looking at a nice result by-in-large, but one that could be improved by a breast lift which could elevate and slightly centralize the nipples and areolae.
The entire breast is lower than on some women, and that is not really improvable but also not something that looks unattractive.
If you consider this, be sure to look at photos of the lift scars when evaluating the pros and cons.
Thanks, best wishes.
Unhappy after BA
I think your doctor since the beggining should be aware of tubular breast , i do not think changing the size implant irself will solve the situation 350 is a good size for you under muscle the problem is that to change this tubular shape it needs to be treated with internal radiation of whole mamary gland tissue including periareolar surgery to reduce the size of areola and with combinatio of radiation and periareaolar incision treat the herniation that your nipple presents, after this you can decide if you want to go to bigger size implant . because ounce radiation is done then implant will show and get a rounded shape , this tubular shape you are presenting is not because of the size of your implant is because the tubular shape was not treated
Results of augmentation in mildly tuberous breast.
You have a very nice result from your augmentation. Augmentaiton cannot be expected to dramatically change the shape of the breast or the areolas. A breast lift can change shape and areola size and you may want to consider it. BUT - if I were you, I would learn to love your result. It is very, very good and the enemy of good is better, even in plastic surgery.
Web reference: http://www.sowdermd.com/blog/tuberous-breast-deformity/
Recent Breast Implants Reviews
Breast Implants Photos
Revision after breast augmentation
Based on your preoperative photos, your breast augmentation went exactly as planned. The implants are in a normal position based on your breast. If you are unhappy with the shape of your breast and the position of your nipples, I think a breast lift would give you a good result. This would allow some improvement in the tubular nature of your breasts as well as decrease the size of the areola and lift the nipple.
Mild tubular breast and ptosis
I do not think that getting larger implants or fat grafting will help much. What you don't like about your breasts is not a lack of volume, it is the shape. The best way to change the shape of the breast is with a mastopexy or breast lift. You appear to have a mild form of tubular breast with dilated areolae. I would suggest having a vertical breast lift with areolar reduction. A periareolar lift is another option, but I do not like the scarring associated with the typical "donut" mastopexy.
Unhappy after breast augmentation
Your result is a reflection of what you were before breast augmenation, and as the nipple was low on the breast it has remained so after your augmentation. Without moving the nipple higher anything done to increas fill on top will cause the nipple to sink lower. More volume alone is OK if the scar is not right for you, but do expect the skin envelope to remain the same.
Web reference: http://www.peterejohnsonmd.com
Implants just magnify the breasts you have
The problem here isn't with the work done by your doctor but with the fact that implants just magnify your preop shape and anatomy. Unless you can adapt and learn to like your new look, you will need another surgery with its recovery and costs. From what I can see the main thing you need is a lift. I would advise against far grafts. New implants can give more fullness but without a lift they will actually make you potentially look worse.
Revision breast augmentation
I think that you probable need a circumareola reduction to improve the shape and appearance of the breasts. That is my guess based solely on your photos.
How Can I Improve The Appearance Of My Breasts- I Am Unhappy With The Post Operative Results
If you were my patient, I would do a circumareolar reduction of your nipple areolar complex. This would give you a smaller nipple size, eliminate the puffiness of your nipples, flatten your breasts to decrease the tubular shape, and make your breasts rounder, all simultaneously. I would also increase the size of your implants to give you more fullness in the upper quadrant using a moderate or moderate plus profile which will give a greater base diameter. Finally, and as an aside, I would suction out your axillary breast tissue to give a more attractive overall appearance to your breasts.
All that being said, your desires and possibly my suggestions should be discussed with your plastic surgeon.
Unhappy with breast augmentation results--what to do?
I am sorry you are unhappy with your results, since it appears you have a perfectly good technical result of enlarging your breasts. I emphasized the "your" in the last sentence, because yours is a classic case of not liking your pre-op breast appearance, and despite what appears to be a technically excellent breast augmentation (still not completely healed and settled at 3 months, but pretty close to "final"), you don't like your larger versions of your pre-op breast appearance.
So at this point, detailed analysis must me made as to just what you don't like about your breasts. Is it that your nipples still are slightly low and point slightly downward, despite being (barely) above the inframammary crease position? By your proposed "solutions" I assume you are asking for more upper pole fullness, or is it just larger breast size, (or both)? 64cc larger implants will add just over 4 tablespoons of increased size per side--this will be essentially invisible! Don't waste you money if this is your choice. If you want more fullness, you need to decide on 100-150cc or so to begin to see a difference (think about 250cc per cup size and decide on how much larger you want to be to try to achieve that upper pole fullness.)
Fat grafting can add volume, but will take a similar amount of fat as the implant size increase just discussed. That will require multiple sessions, and may cause calcifications, lumps, and irregularities that not only are palpable and permanent, but can interfere with detection of breast cancer via mammogram. (NOT recommended, IMHO) and costly to boot.
If you want higher, rounder, and perkier breasts with smaller nipple areola complexes, then you need to come to grips with the need for a full breast lift, and the cost, scars, and permanence of that choice (you cannot "take back" scars once you have them, and they are permanently good or permanently not so good).
At this point, I would advise waiting for another 3 months (minimum) to see how you like your appearance when healing is complete and stable, and then decide on your next steps (if any). Truly, you don't look bad at all, but it's you that needs to be as satisfied as possible. Best wishes! Dr. Tholen
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.