Should I Have my Implants Placed Under the Muscle and Get a Lift?

I'm 21 5'6" 115 pounds mother of 2. I had 450 cc high profile saline implants placed above the muscle. The size is exactly what I wanted. I opted not to get a lift & now feel my areola & nipple are far to low. The size of my areola does not bother me. I was told I could achieve lift & a natural appearance with overs & the size but I feel that they look VERY unnatural & my bra straps do not lay flat against my upper chest. Will they change any more? Should I have a lift & get them placed under?

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19 Doctor Answers | Asked by jenn2011

Doctor Answers (19)
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What can I possibly say other than this is crazy?????

I have to say in all honesty that I am absolutely shocked by the result you have. Can it possibly be that you went to a real Board Certified Plastic Surgeon or was it one of those pretenders who does breast surgery without formal training (ie. a "cosmetic surgeon")? There are so many things wrong here: 1. You absolutely needed a full lift from the start. Nothing short of that would look any good from your starting point. Your breasts were too droopy to... more

This is unacceptable! Poor Surgical Judgment

I have reread your question a few times now and my answer is going to be a bit tough. As my colleague's have mentioned YOU stated that you didn't want the lift scar. OK fine, but a surgeon who possesses a decent skill set should have told you the truth. The truth being that you either get a lift or get very unhappy. Those of us that have been ethically influenced would have put on the brakes and had a serious sit down and discussed WHY you need that lift. Now you have money... more

You need a revision!

Dear Jenn, I am sorry you had such a poor result but I really don't feel that all is lost. Let's start with the first problem. You are tall and thin. you don't have a lot of breast tissue and your creases are fairly high. I think that high profile saline implants do very poorly in a patient like you. Moderate profile plus or style 15 implants (gel) do much better in these cases and almost always need to be under the muscle. The problem comes in... more

Revisionary Breast Augmentation/Mastopexy Surgery?

Thank you for the question and pictures. Yes, you will benefit from revisionary surgery. This operation will involve mastopexy and reaugmentation ( preferably in the sub muscular or dual plane position). Given your negative experience thus far, I hope you will take your time and do your due diligence given that the revision surgery is relatively complex. Make sure your selected surgeon has significant experience that he/she can demonstrate to you. Best wishes. more

Need a lift? Replace breast implants?

What your surgeon chose to do in your case makes no sense whatsoever. Where to begin. It is obvious from your photos that you needed a lift, and that would be a full lift and not a minor lift with just scars around the areola. Putting implants in the breast will fill it out but it will NOT LIFT THE BREAST! Putting really large implants in the breast will really fill it out BUT WILL NOT LIFT THE BREAST! Saline implants can look less natural than silicone gel implants, in... more

Breast lift with implants

The position of your implants is not the main issue You need a vertical breast lift .I would replace the saline implants with moderate plus silicone gel,my preference is subfascial.You may also consider slightly smaller implants

Follow the advice of your doctor.

I am sorry you are not happy with your breast augmentation. From your photos I can understand why. Even though it is sometimes hard to follow the advice of your surgeon, especially if he/she is telling you that you need a lift, it is generally better to follow their advice. You DO need revision surgery. Time is not going to solve your problem. The difficult thing is that it may be too risky to perform the implant repositioning and the lift at the same time... more

Alll is not lost

There were a number of poor decisions made by your surgeon as mentioned by my colleagues, but what are you to do now? Start by seeing several board certified plastic surgeons for examinations and advice). Look for a surgeon who does a lot of breast lifting; not just augmentations. It is a technical and demanding procedure and not the same as augmentations alone. I would recommend moderate plus profile silicone gel implants placed under your chest muscle... more

Should I Have my Implants Placed Under the Muscle and Get a Lift?

The only change you should do is find another , at least boarded,PS to revise this unacceptable result. Sorry for your issues. Yes a full lift the sub muscular placement is in order.

Should I have my implants placed under the muscle and get a lift?

The preoperative evaluation of your breasts is extremely important. Your photographs clearly show that your nipples are present at the lowest pole of the breast and the diagnosis for this appearance is called "severe ptosis". Patients with severe ptosis need a breast lift procedure. I would put new implants under the muscle with a lift. You were very clear that you liked your size and that should be respected. Being extremely thin, your... more