Breast Implant Revision: Q&A

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Will a Revision Fix my High Implant Placement?

I had surgery 4 months ago. The Dr. placed High profile 550cc silicone implants under the muscle using the axillary approach. My implants are so high up on my chest wall they are touching my clavicle bones.

I originally had 300cc saline implants over the muscle.The implants never dropped, I am considering having a revision done in June, using the periareolar approach . How high are the chances that my implants will remain high even after the revision?

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21 Doctor Answers | Asked by Boston3771 in Boston, MA

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Superior malposition of breast implants

I agree that your result is unacceptable. the good news is that superior malposition of implants is one of the easiest fixes for plastic surgeons who specialize in revisionary breast surgery. I agree with performing a periareolar approach and performing an inferior capsulotomy or partial capsulectomy. Your chances of success are very high.

Implant revision

First perhaps your body can not accomodate for such a large implant. The other consideration is that the pocket was not dissected adequately from the transaxilary approach.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Implant Revision Answers

I agree that a revision is necessary at this point. It is unlikely that your implants will drop enough to be satisfactory after 4 months. A periareolar incision is appropriate as well. I do think that you would be better served with a lower profile implant. A Moderate Plus profile would give you a more natural look even after they are properly placed. HP profile tend to look very "torpedo like" even in the best situations for augmentations unless you... more

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Implant revision

I agree that the implants are too high. I think transaxillary approaches have a narrow "sweetspot" for getting ideal implant position because the space is created from above and outside the breast. I think a periareolar (or inframammary, for that matter) approach can help reposition implants by releasing the lower border of the scar capsule and possibly releasing breast tissue below the lower border of your pectoralis major muscle to let the implants sit lower in the breast skin... more

Breast Augmentation Revision Requires Accurate Implant Position

The quality of outcome associated with primary breast augmentation and revision depend on several factors. Implant position is important. If adequate release of the muscle and or capsule was incomplete when the implants were placed under the muscle, the implants will sit too high. In addition, because you have a short nipple to fold distance, a large implant like these will likely give you too much superior pole fullness. Saline implants are heavier and tend to drop a... more

High riding implants

I think revision using a periareolar approach would be helpful. I agree with the other comments that the implants seems a bit too big for you. Having said that, lowering the fold along with capsulectomy will allow the implant to drop and you may be able to keep the same implants.

Revisionary breast surgery

Much of the final “look” achieved after breast augmentation revisionary surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and... more

Breast implants: too large and too high

Hello, Why were larger implants placed during your revision? Your current state of affairs appears to feature high placement of large implants without adequate soft tissue to allow descent. I would likely advise smaller implants, but can't be definitive without examining you first. Best Regards, John Di Saia MD see video

Poor implant placement

A revision of your current implant position can be achieved. Using a periareolar approach will allow access to the space under your muscle much more easily allowing the implants to be lowered. It is also entirely possible that the wrong implant was chosen for your chest wall dimensions. If your anatomy does not allow a certain size, any approach will lead to a poor result. I would highly recommend considering a smaller implant.

Will a revision fix my breast augmentation?

The chances that a revision will lower your implants depends partially upon whether or not the original scar capsule was released/excised during your last revision, as well as whether or not the lower portion of the muscle was released. If they were not released, additional implant volume tends to go up toward the clavicle, and releasing them may help. You may also wish to confirm that the width of your current implants is appropriate for your frame – excess width also... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Breast Implant Revision: Q&A