Breast Lift: Q&A

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Do I Need a Lift 7 Months Post Implants? (photo)

Hello: I had a primary breast augmentation in July - 500cc smooth silicone under the muscle through the areola. Developed capsular contracture in my left breast and my right has dropped below the point where I liked it. I am also attaching a picture from before anything was done to me. I want both my breasts to look like my right did at 2 months after the surgery (refer to picture). Any way to achieve that without doing a lift? Why did the right drop so much if it wasn't droopy before? Thanks!

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15 Doctor Answers | Asked by Margarita6062 in Tampa FL

Doctor Answers (15)
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Revision after capsular contracture.

There are multiple issues that are apparent from your photographs. The left breast has an obvious capsular contracture. Release of this contracture and repositioning of the implant will certainly improve this area. The right breast is ptotic due to the heavy nature of a 500cc implant. Implants of this size are going to cause the breast to drop due to gravity. The use of a dermal matrix such as Strattice can help support the implant by providing an "internal" bra. In addition, the... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Breast drop

This is not uncommon.Remember once you put a 500 cc implant in that is a big breast and skin will stretch out no matter what.If the skin is sun damaged and has stretch marks even more so.I mwould support your breats with a bra and maybe your surgeon could raise your inframammary fold soemwhat but I would not re3commend a lift.

Raise Breast Without Breast Lift?

Thank you for the question and pictures. In order to raise the right breast implant It may be possible to support the lower pole of the right breast with internal sutures (capsulorapphy) plus/minus the use of a cellular dermal matrix. The left breast encapsulation should also be addressed to improve symmetry of the breasts. You may find the attached link helpful. Best wishes.

Breast lift after 7 months implants?

Actually, I would have tried to talk you out of having implants. Few women have the breast volume that you had for your frame. Then, if you insisted, I would have recommended much smaller implants. There is no muscle in a breast, and the pectoralis muscles do not cover the lower part of the implants. Think of sand in a sock. More sand causes more sagging. You will not get the shape of your breast like your photo at two months. My suggestion is to reduce the size of the implants and... more

Do you need a lift

I think the implant on the right has moved out from under the muscle due to its size and that has allowed the right breast to sag. I do not think that a surgery on the left alone will get you symmetrical. Something will need to be done in order to place the implant on the right higher. You might possibly get away without a lift if both implants are removed and replaced in a new pocket in the subglandular plane, but it will not look exactly as your 2 month post op photo does. more

The Challenge of Capsular Contracture

Despite all best surgical efforts capsular contracture can alter the early pleasing results of breast augmentation. Your photographs are consistent with left capsular contracure and it appears severe enough to warrant capsulectomy. The right breast has dropped due to the effect of breast implant weight and gravity. If it was not for the left capsular contracture your left breast would likely have dropped as well. The risk of this effect increases with larger breast implants. Potential... more

Do I Need a Lift 7 Months Post Implants? (photo)

Thanks for the series of posted photos. This demonstrates the progression of the left capsular fibrosis and the need for better follow up with the surgeon to try and to have avoided this. Now you could benefit from left calsular release and possible lifting. Better to be seen in person in a few additional consults. Follow up on your results and plan.

Uneven after BA

Your right breast reacted the way I would have predicted. it filled out in all areas nicely and dropped because of the weight of the implant. I would not have recommended that size, but, for that size, your right side came out nice. Your capsule contracture or incomplete dissection has prevented the implant from coming down. You will need a revision to release the implant from below and would be most successful from an approach at the infra mammary crease, even though it means adding another... more

The picture of capsular contracture

Your photo series is an excellent example of how capsular contracture appears and progresses. Your breast started out well, and as contracture set in the implant rounded up and pushed upward distorting the breast. You will need the capsule corrected, but a lift is not necessary. Do you need implants? The befores might cause envy for some. Best of luck, peterejohnsonmd.com

Breast Implant Asymmetry

Hello Margarita, I am sorry about your problems you are having with your breast augmentation. Unfortunately, you are experiencing two of the most common problems women have after breast augmentation: capsular contracture and implant malposition. I can tell you with absolute certainty that both complications could have been averted if a properly sized implant was chosen for you. Plain and simple, 500 cc is too big for you, and if you have a revision surgery keeping the... more

Post augmentation issues

You probably need an acellular derma matrix on both breast. On the right side for internal support and on the left side to help prevent recurrent capsule. A mastopexy may also be needed depending on how things look with the matrix in place. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS

3 reviews

Atlanta Plastic Surgeon

Asymmetry after augmentation

The double whammy of a contracture on one side causing the implant to ride high and persistent inferior displacement on the right side makes for an asymmetric situation. Why you developed a contracture is unknown. My best advice is to go smaller for starters. Since your breast originally sat low on your chest, very little of the implant is actually under the muscle. The weight of the implant will eventually cause it to drift lower in the absence of contracture. Choosing an implant that is... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Unhappy with outcome from breast augmentation

Hi there- From the photos you posted, it looks like you have several different problems... two which might be able to be improved, and one that cannot. Clearly you have developed a significant capsular contracture on the left hand side. This is probably the most pressing of the problems, as it will worsen over time, may lead to discomfort, and will become visible through your clothing (if it is not already). I would deal with this first, so that the two breasts look alike again, and... more

What you can and can't get from breast augmentation

What you need to do first is deal with the capsular contracture and hope it doesn't recur. Then the two breasts should be much more symmetrical. What you can't do is get back the two month look you liked because your tissue elasticity and size and weight of the implant will not allow that. Just how each person'ts body is different. A lift won't change that because your nipple on your right isn't low.

You may not need a lift

It appears that you had a satisfactory early result at 2 months. Unfortunately, capsular contracture can happen early or late and be bilateral or one side only. It looks like the encapsulation on your left side has kept your breast "up" while the right has drooped a bit. Some drooping is inevitable with larger implants depending on your skin elasticity, age , pregnancy history etc... When the contracture is released surgically on the left, that... more