Breast Implant Revision: Q&A

Ask a Question

Is Breast Revision Surgery Right for Me? (photo)

I had above muscle saline implants replaced with below the muscle saline implants three weeks ago. My doctor lowered my crease on the left side to even out a difference. My left side is WAY high still after I have massaged and wore the strap. I went to the doc yesterday and while he would like to wait, we have scheduled a revision for next week. He will be more "aggressive" in creating a lower pocket. I'm getting married in June and can't risk it looking like this. Thoughts?

Tags:

Comment on this

8 Doctor Answers | Asked by koconut

Doctor Answers (8)
Community Comments (0)

Breast revision

Thank you for the question. You will definitely need a revision. The right breast appears low compared to the left breast. It is possible that you could benefit from a mastopexy of the right breast and a smaller implant of the left breast. This may achieve the balance you are looking for. Unfortunately, I have insufficient information about the size of the implants and incision sites. You do have other alternatives other than lowering the pocket... more

Implant issues

The implant is definitely high, a revision will likely be necessary. The pocket probably needs to be opened up. AN exam in person would be necessary. Good luck.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Implant is too high after augmentation revision

The left implant is too high. I don't know why a surgeon would have placed the implant under the muscle, nor could I recommend a saline implant since the cohesive gels are softer, more natural, and warranteed for life. You should get another opinion from a different surgeon, one with more experience handling revision augmentation. If this is a problem of persistent capsular contracture you might benefit from incorporation of a biologic membrane (I use Veritas,... more

You might also like...

Real Stories

Breast Implant Rupture - Removal of Implants and Insertion of New - Toronto, ON

I had my initial breast augmentation approx 22 years ago. I experienced a rather traumatic...

Before + After Photos

View 661 Breast Implant Revision photos

Is Breast Revision Surgery Right for Me?

The posted photos say it all, You need revision surgery, sooner than later. I would seek new in person opinions because very hard to advise without in person, touch & feel the breasts, examination. My guess is replace and lower left to a degree remove the capsule. On the right do a full lift to try attain symmetry. But again best to seek in person evaluations. Please keep us informed of the decisions and surgical plan.

Breast Revision : Sooner or Later?

I think that most plastic surgeons would agree that waiting for your implant to settle, muscle to accommodate implant through physiologic stretching would be best. That being said, your wedding is a life experience and I completely understand why you and your surgeon has selected to do a revision at this point especially because the degree of asymmetry will not . clearly a more complete release is needed on the left. Good luck and congratulation on the... more

Breast surgery revision

Under normal circumstances, I would recommend waiting three months minimum before reoperating but the wedding is clearly an issue. Seek a second opinion and have your treating surgeon explain precisely what he intends to so so that you can go into the procedure as knowledgeable as possible.

Revisional breast surgery

You definitely will need a revision and although it is better to wait 3 months, under your circumstances regarding a wedding in June you should do it sooner rather than later. Although we do not know what you look like prior to this procedure, make certain your surgeon knows specifically what the problems are and what needs to be done to improve it. It may be worthwhile to seek a second opinion from a board certified plastic surgeon also.

Is Breast Revision Surgery Right for Me?

Thanks for the excellent photos. If all you have done on the left is a lower pocket, it will actually increase your deformity. The implant already sits lower than your breast. The surgery needs to be focused on a better release of the lower muscle which is holding the implant too high. The pocket needs to be converted to a dual plane with wide release of the lower muscle margin, BOTH from its deep AND superficial attachments. I think you are OK to do it now. I would prefer to wait a couple... more

Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

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