Breast Implant Revision: Q&A

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How Would You Plan my Augmentation? (photo)

I have saline implants placed 3 years since then I've had a pregnancy and nursed afterword. My implants have bottomed out and I also do not like the firm unnatural feel of the saline. What would you reccomend I do to correct these issues? I have attached pictures of my breasts and the breasts I'd like to have. Costs?

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6 Doctor Answers | Asked by cjm2005 in idaho

Doctor Answers (6)
Community Comments (1)

Implant Exchange, Plication and Simultaneous Lift

The first thing I would do is remove your saline implants through a circumareola approach. You would need your implants placed retro-pectoral, if they are not there now, and you will need plication laterally and inferiorly to raise the new implants. I also suggest smaller sized silicone gel implants. At the same time, I would reshape your existing breast issue, elevate it higher on the chest wall and more medial to increase your cleavage. All this can be done through... more

Revision augmentation and lift

First, you would need a revision of your lift to correct your gladular/implant ptosis. You mighe consider a larger impalnts to improve the upper pole fullness as well.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Bottoming out repair

I would perform a slightly larger implant, using a textured silicone implant. I would perform tightening of the lower pole using the excess skin as a sling to the muscle (similar to the use of ADMs without having to buy an ADM although I do think that ADMs are better and hold things in place longer if cost is not an object), and suturing the skin tight down to your fold. Good luck

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How would you plan my augmentation revision?

Thanks for providing photos. It appears from these that: You have a fairly long distance from the nipple to the fold Your breasts have stretched a fair amount within the lower pole To address your concerns and to achieve results similar to the photos you provided, you may want to consider the following: Bilateral conversion from saline to silicone gel implants Moderate upsizing of the implant volume (approx. 100 cc) Revision of your breast lift... more

How Would You Plan my Augmentation?

1. Switch out to silicone. 2. Redo the breast lift. The nipple-areolar position is OK, but the implant has descended within the breast tissue. A horizontal incision in the fold is needed. The "excess" tissue can be used to reinforce the strength of the support given by the breast tissue. But using an ADM (acellular dermal matrix) would be a consideration to provide better support. 3. Although you don't mention size, going larger would increase the chances of the current... more

Correction of bottomed out implants after pregnancy

While no one can give you specific advice without seeing you personally, it appears the the implants have dropped (bottomed out.) There are several things to consider, depending on your specific situation. One is switching to silicone gel implants, which might feel better. The pocket that hold the implants would be revised to raise the position of the implants. If the tissues of the lower breast area weak or thin, then reinforcement of this might be needed. The best way to do that would be... more

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Comments (1)

SarahP (Community Manager)
5 months ago

Hi There,

Here's a link to the average cost of Breast Implant Revision reported by our community members in your area.

Hopefully this helps!

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Breast Implant Revision: Q&A

How Would You Plan my Augmentation? (photo)