Breast Augmentation: Q&A

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Lumpy Scars and Unevenness - Is Something Wrong with my Implant / Lift Surgery?

I had a lift / aug 2 mos. ago. 400CC sil implants were put in &a lift done at the same time. I always had saggy breasts but then I lost 130 lbs & went from 44DD to 36A. I didn't expect HUGE breasts but I did think they would be bigger. I'm disappointed about the size. (they are 36D now) See the pics for my problems: lumpy scars, uneven breasts, & nipples point in different directions. I'm terrified but doctor says "Be patient." Should I worry?

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nipples lumps scar uneven A to DD cup 400-449cc silicone implant 2 months post-op

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27 Doctor Answers | Asked by Tina5269 in Sebastian, FL

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Unfavorable result after Breast Augmentation with Lift

Hi there- Without knowing what your exam was like before surgery, it is difficult to say for sure what might have caused the problems you are encountering... On the other hand, it is clear from the photos you did provide that you have a very poor result. I would not expect this to improve over time, and in fact it may worsen as capsules mature... You are going to need a revision of your surgery in order to achieve a pleasing outcome, but please be aware that the timing will be cri more

Breast augmentation with lift

Breast augmentation and breast lift together is and can be a very complex surgery with a high rate of complications. At two months and observing your results, I would recommend aggressive massaging (implant-displacement massages) in order to get the implant to settle a bit lower. However, it is also very possible at this point that the implant will not settle and you may require a revision. I would wait until 6 months to make that decision. Here's what I think... more

Uneven Breast Lift/Implant Surgery

At two months you are still in the healing state. I recommend waiting at least 6 months before considering revision surgery. That being said, I think you will need a revision. Your implants are high, the nipples are asymmetric, the right lateral breast pocket indents, the vertical incision on the right goes below the breast fold. These are too many asymmetries at this point to feel confident in saying the healing process will take care of them all. Hope that helps and good... more

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Disappointing Breast Augmentation / Lift Result

You unfortunately do not have a good result. Seeing your Before pictures would help in telling you how much of this outcome was the choice of the implant or the surgical technique but at this point it does not really matter. It is obvious the implants are sitting way too high vis a vis the nipple and bottom of the breasts and the scars could be more attractive. You would benefit from a revision but I would strongly advise you to wait at least 6-8 months to allow complete healing and... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Breast Augmentation and Lift Combination Takes Time To Settle

The combination of breast implant placement with breast lifts can be a difficult operation to get the desired shape and size of the breasts in a single operation. The more saggy the breasts are to start with the more challenging it can be. Once done it almost always appears that the implants are too high and the nipple may appear too low. It takes 3 to 6 months for settling of all of the tissues. Your breast appearance at 2 months strongly suggests that a revision will... more

APPEARANCE POST AUGMENTATION/MASTOPEXY

Thanks for the photos. They are very helpful. From the photos, you appear to have a moderate amount of fullness at the top of the breast. As the implants settle, this will be much less and the nipple-areolar complex will appear more centered. Over time the irregularities along the bottom of your breast will smooth out. It is too early in the healing process to consider any surgical revisions. With massage techniques you can help the implants... more

Augment Mastopexy Concerns

As mentioned by my colleagues, if you have the patience, it is always better to wait for a few months before jumping back in to revise this. But as also noted, it is almost certain you will require a revision. I hope you had an understanding of your doctor's revision policy as many of us have one to help minimize any misunderstandings that can arise from results such as yours. You will have many issues to address such as implant position and nipple position as well as the... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Lumpy scars after a lift/augmentation, is this correctable?

Thank you for yor photos. It would've been great to see some preop photos as well. Of the limited views you sent there's some asymmetry, nipples do point to different directions and the vertical scar seems to go below the breast crease or there is some puckering below the crease. I assume that these implants are submuscular and they seem too high. At this time you should wait until the implants settle and your tissues heal and soften up before considering a revision. I believe you... more

Post-op lumpiness and unevenness

It is difficult to tell you what to do specifically since you do not show what your original breasts look like. Certainly the results at this time is cause for your concern. The main thing is the mismatch between implant position and nipple position. The scars, the puckering, and the tightness inferiorly will all typically improve over time, but may not improve to the point of being satisfactory. My suggestion would be to wait until the scars and tissues soften and become pliable and then... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

You may need a revision, but be patient

Obviously the size will not change with waiting, however your scars will continue to improve for 6-9 months. Be patient, from looking at the picture, you may likely require a revision, however at this point it is best to wait until t he incision mature

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