Breast Implants: Q&A
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Unhappy with Results After BA? (photo)
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!
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11 Doctor Answers |
Asked by
canadian286
in Calgary, Alberta, Canada
+2
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...
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+1
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.
+1
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.
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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...
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+1
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.
+1
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.
+1
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.
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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...
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Honolulu Plastic Surgeon
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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...
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+1
Unhappiness after Breast Augmentation for Tuberous Breasts
The keys to happiness in Cosmetic Surgery are realistic expectations AND clear communication between Patient and surgeon. I believe these may be the sorce of your disappointment as well.
Please take the time to tell your surgeon SPECIFICALLY what you do not like about your current breasts.
- would correcting the sagging be enough?
- must they be made completely round?
- are the areolae too large and puffy for your taste?
Each of these may require a sligghtly different approach....
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+1
Pocket modification and breast lift
Hello,
Thank you for the question and photos. It appears that your breasts are naturally low on your chest. Your current implants are also by definition low on your chest. Although it involves a little work repositioning the implants higher on your chest with pocket modification and a breast lift would likely provide the best result.
All the best,
Dr Remus Repta
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