Is My Breast Augmentation a Result of Over-dissection of the Pocket? (photo)

My photos are pre-op and 2 years post-op. I requested a natural looking, proportionate look. My surgeon advised 475cc high profile saline implants. I am very unhappy with my results and would like to know what went wrong, and what procedure is recommended, so that I can avoid future complications with my revision surgery.

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7 Doctor Answers | Asked by AZakay

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Unsatisfactory breast augmentation results.

In addition to the previous comments, you should know that the results are not entirely predictable and requesting a certain look is one thing. Promising a certain look is clearly another. No one knows how you are going to heal the implants in place. Thus, you may end up looking like two half grapefruits on your chest or more natural or tear drop shaped.

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Your result is not good, but may be much more than "overdissection."

From your photographs alone, it is impossible to state whether your present appearance is due to above the muscle implants that have developed capsular contracture (likely from biofilm formation from intraductal bacteria as the breasts were lifted off the pectoralis muscles), below the muscle implants with inadequate inferomedial tissue release and gradual muscular displacement of your implants inferolaterally (possibly associated with capsular contracture but not necessarily), as well as... more

Unhappy Results After Breast Augmentation

Hello, Perhaps there were a few things that conspired against you from having a good result, but certainly it began with the pre-operative planning of the surgery. There must have been a communication breakdown from the beginning if you said you wanted a proportionate, natural look, and he (and you?) choose 475cc HP implants. These are large (wider than your breast base), almost ball shaped implants that never yield a natural look. The choice of saline filled implants also... more

Lateral implant drift

Thank you for the questions and good photos. I assume your implants are under your pectoral muscles. If that's the case, then it's likely that the muscles have pushed your implants laterally and inferiorly. If you flex your pec muscles by putting your hands on your hips and squeeze, you'll see if the implants are being displaced. If that's the case, then the treatment is to internally repair the scar tissue capsule laterally to close off this area; exchange your... more

You have options

First, I think you need to ask the question you asked here to the surgeon who did your surgery and express your dissatisfaction with your results. Second, make sure you get the opinion of a board certified plastic surgeon (or a second one if your first surgeon was as well) about what options you have. You may benefit from relocation of the pocket, use of an internal sling (like Strattice), or a switch to silicone implants or a different profile. There are options, but all will... more

Unhappy with Results of Breast Augmentation

I'm sorry to hear about your dissatisfaction with the breast augmentation surgery results. It is hard to comment fairly without examining you ( for example is there encapsulation present or is your situation mainly related to breast implant displacement). you may be best served by seeking additional opinions and person; a review of your operative report will be helpful. I would agree with Dr. Rand's suggestion to see well experienced board-certified plastic surgeons... more

Breast surgey results

I agree with you that you have a much worse looking result than I would expect from someone with your decent starting point. Why that is, I can't say without knowing more, but you should seek expert consultation from the best local plastic surgeons where you live to discuss plans for revision. Just from the look, you appear to have above the muscle implants that have dropped into the "ball in a sock" look. The profile looks poor, there is too much space in the middle and... more