Breast Implant Revision: Q&A

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Do I Need a Revision (1 Yr After Ba)? (photo)

I had a breast augementation about a year ago. I went 4 sizes up: 350 moderate plus saline overfilled to 365 left and 375 right. When I stand up my breasts look ok but when I lie down the left one fall all the way to the side almost to the armpit and up to my collar bone, while the right one is perky and it kind of looks like if implant wasn't placed centrally. It really bothers me the way it looks. Should i get a revison? Thank you

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overfilled 350-399cc 1 year post-op moderate plus profile

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5 Doctor Answers | Asked by ann1222

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Larger Pocket For Implant Requires Revision

Hello, Thank you for sharing your photos. It seems that your left implant is sitting in a large pocket hence when you lay down the implant will tend to fill this gap on the lateral side of the left pocket. An internal lift (capsulorrhaphy) closing the aforementioned gap hence resizing the pocket for a better fit of the implant will be the best approach. That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery... more

Breast Augmentation Revision after Saline Implants

Hi Ann, Implant malposition is one of the most common problems after breast augmentation. Lateral displacement seems to occur most frequently with smooth, saline implants. In your case, the displacement is most likely because the implant pocket is too large on your left side. There are several ways to correct this. The most common would be capsulorrhaphy, where sutures are placed internally to make the implant pocket smaller. This works well, but sometimes the repair can fail... more

Revision after breast augmentation

You have a superior and lateral implant displacement on the left side when you lie down. This is most likely due to implant pocket is created to big in relation to you implant and to your right side. The issue is whether or not this should be corrected with a revision surgery. If you are bother by it significantly then at least you should find out what are your options. You also need to find out what are the risks associated with such revision. Most likely you will need to have the pocket on... more

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Revision?

A revision is only necessary if it bothers you. It sounds like the pocket is too wide and that is why you are getting lateral displacement. A capsulorrhaphy ( tightening of the capsule) might help.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Revison of breast implants?

Dear Ann. Aesthetically, your breasts look fine when standing up. It's clear you're getting a supero-lateral drift when laying down, but is that really a good reason to undego more surgery? My opinion would be to wait. Surgery involves risks and benefits. Right now, you have a relatively high risk for a very small benefit. As doctors, we're trained to imagine the worse case scenario. In your case, if you had a re-operation and an implant got... more

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Breast Implant Revision: Q&A

Do I Need a Revision (1 Yr After Ba)? (photo)

Larger Pocket For Implant Requires Revision