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What Happened to my Lift with Implants? I Look Horrible... (photo)

asked 4 months ago by anon5259
Latest answer by Earl Stephenson Jr., MD, DDS
Question viewed 480 times
Tags: botched, causes, uneven, unhappy

I had a breast lift with implants... my breasts are now so uneven and look horrible. I have been told by the hospital that I need to go back after 6 months to have a revision on the right breast. I'm so scared to let them cut me open again as they have not told me why or how this has happened. I can't get time off work until November so I am stuck looking like this for the next 10 months :( Someone please help me with answers?

16 answers to What Happened to my Lift with Implants? I Look Horrible... (photo)

+2

Breast lift and breast implants

Your concerns are obvious from your posted photos which show disruption of the right crease and downward displacement of the right implant and symmastia. Not knowing what you looked like before surgery or exactly what was done during surgery it is impossible to say why or how this happened. You need to have a frank discussion with your surgeon so that you can go back to him/her for the revision surgery and not have to go from surgeon to surgeon as that could be costly. I do not know if your... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

You will need revision to correcet the bottoming out

Your results are not acceptable and will need revision . There are many reasons for this result including the procedure it self. The revision rate for the combined lift and implant is around 40-100% based on the type of the studies.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+2

Augment mastopexy

We have alll had operations that did not go as we would like them to. the likelihood of revision surgery after your operation is 30-35%. do not be angry, it can be corrected. 6 months post op is a good time to do this at the earliest
Jonathan Saunders, MD

Newark Plastic Surgeon
+2

Breast Lift Results

It looks like your implant moved down, also known as "bottoming out". This would require a revision to correct.
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+2

Bottoming out of Breast After Lift

It appears that you have had bottoming out of your right breast. This can be corrected, but it will take a second procedure with either tightening of the breast capsule, or with the use of a product such as Alloderm or Strattice. These are dermal replacement products that can be used to reinforce the weakened area of the breast. See an experienced surgeon who is comfortable with this type or procedure as it is complicated, but can produce significant improvements. Best of... more
Vincent P. Marin, MD

San Diego Plastic Surgeon

www.marinaesthetics.com

+2

What to do about bottoming out of a breast implant with asymmetry

It is never good when the surgical plan and the early result do not meet up to your expectations. Looking at your photo, it appears as if you have developed some degree of bottoming out of your right implant, this sometimes develops when the crease under the breasts is high and tight and the implant needs to be lowered to centralize it over the implant. The condition is referred to bottoming out. You may need a revision in the future. Sometimes we... more
Jeffrey Zwiren, MD

Atlanta Plastic Surgeon
+2

Breast Implant Bottoming Out?

I'm sorry that you are experiencing the complication after breast augmentation/mastopexy surgery. It seems as if the implant on your right side is inferiorly displaced ( bottoming out). Bottoming out involves inferior migration of the implants. This causes the nipple areola complex to appear too high on the breasts. Also, the distance from the areola to the inframammary fold is too great. This is corrected by “raising” the inframammary fold using internal sutures.... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+2

Bottomed out breast implant

Your implant has bottomed out and will need revision using either sutures or an acellular dermal matrix to support the repair. The ADM is substantially more expensive but has a higher percentage of success while the suture repair can break down again in maybe 10-20% of patients. As you can see from your other side, this is not necessarily something that is your surgeon's fault as they did a nice job on the good breast. Occasionally, the crease below the breast is... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Bottoming out of implant after breast augmentation-mastopexy

Based on your photo, it appears as if you have developed bottoming out of your right implant, which can happen after breast surgery. It means that you have had excessive stretching of your skin and the implant has 'bottomed out', or is positioned lower than we would like. I would anticipate that revisional surgery will be required in order to reverse this. It may involve the use of a product called acellular dermal matrix (Strattice, Alloderm, Flex HD: all similiar products but... more
Antonio Gayoso, MD

Saint Petersburg Plastic Surgeon

www.gayosoplasticsurgery.com

+1

Implants/Lift Gone Wrong

It appears that the crease has been lowered significantly. You might have had different height of the creases before surgery. A preop picture would be helpful. The crease needs to be recreated either internally or externally. Dr. ES
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

Breast revision

It looks like you will need a revision of your lift. If you have lost faith in yoru surgeon, then I suggest you see another doctor for a possible reviision. Good luck.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Deformities following a mastopexy with implants

Your photos are helpful and illustrate your situation as a disruption of the crease at the bottom of your right breast with migration of the implant to an undesirably low position. This is also associated with a double-bubble deformity as seen by the crease above the lower part of the breast. You did not indicate anything about your surgeon such as whether or not they are a plastic surgeon and board certified or what the situation is in general (as commented - "I have been told by... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon

www.turkeltaub.com

+1

What Happened to my Lift with Implants? I Look Horrible... (photo)

Thanks for the photos posted. You can read the other experts's opinions, and basicly they are correct. BEST to seek a true breast expert PS. But you did not specify area of country you like in for a recommendation.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Implant migration after augmentation mastopexy

Your right implant has fallen or migrated down through the fold beneath the breast. This will most likely need to be corrected surgically, but in the meantime you should ask your surgeon if you can begin wearing an underwire bra to help prevent more downward migration. (If you were my patient I would have you wear one.) I typically tell my patients that we need to wait a minimum of 3 months before performing a revision. (You said the hospital told you that you needed to wait 6... more
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon
+1

Bottoming out post aug lift

This is unfortunate but,can be fixed. You have two issues. First, bottoming out with loss of fold definition and second a double bubble. To reset the fold and correct the double bubble, I would perform a neo sub pectoral re augmentation which would thus allow the recreation and redefining of the fold at the appropriate level.
Roger J. Friedman, MD

Bethesda Plastic Surgeon
+1

Patience is a virtue

Thanks for sharing your concerns, I think prospective patients should recognize that surgery comes with risks and complications. I am sorry for your current situation and clearly you will need revision surgery. Patience however is a virtue and time is required to allow the nipple areolar complex to adjust to its blood suppy in its new home. I would also reccomend you get another opinion as well if your surgeon has not shown an appropriate level of concern and committment to... more
Vishnu Rumalla, MD

Dallas Plastic Surgeon

tarrantplasticsurgery.com

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