Breast Implant Revision: Q&A

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I'm Wanting to Get New Implants What Do You Recommend? (photo)

I had saline implants placed 3 years ago and a lift since then I've had a pregnancy and the fullness on top is no longer there. It seems as though I have ski slop breastwork. What should I do to correct this? I was thinking to get larger high profile implants.

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16 Doctor Answers | Asked by cjm2005 in idaho

Doctor Answers (16)
Community Comments (1)

Implant exchange

Thank you for your question. I would recommend that along with an implant exchange, you should have some skin removed from the lower aspect of your breast along the fold. The skin on the lower aspect of your breast seems to have stretched out either from the implant or pregnancy or both. If you just get a larger implant, this will get worse and the nipples will be pointing to the roof. So some skin needs to be removed. Please consult with a board certified plastic surgeon. more

What do you recommend to fix my breasts?

Thank you for providing the photo. On review, your implants appear to have bottomed out somewhat and increased the distance from the nipple to the fold. When this happened, the implant shifted down and you lost volume to the upper pole of your breast. To correct this, you may want to consider the following: Conversion from saline to silicone gel implants Mild upsizing Revision of your breast lift (focusing mainly on reducing the vertical... more

Implants

I do not think that larger high profile implants are the correct choice. If you can accept the scars then a lift is appropriate

Breast implants

From the photos, it appears you have inferior pole ptosis. I would recommend repeating the mastopexy, and at the same time tighten the scar capsule around the implant to keep the implant higher. Change implants only if you want a different size. I do not think a high profile implant will give you more fullness superiorly. Good luck.

I'm Wanting to Get New Implants What Do You Recommend?

Redo full lifting with possible fat grafts and/or implant exchange to your breasts. Best to seek in person evaluations.

Implants bottoming out

Thanks for your question and photos. The photos demonstrate a phenomenon called "bottoming out" where the large implants have stretched the skin out and the pocket where the implants sit is too low. This is the reason why you have no upper pole fullness. Exchanging these implants for larger implants is not the solution. Rather, this will likely make the problem worse. The correction for this is often to reduce the size of the implants and perform a breast lift.... more

Breast implants can lead to sagging

Thank you for your question and for the photos. Of all the types of breast implants, saline are the least compressible and therefore stretch the tissues the most. Anyone having a breast lift is, of course, already prone to sagging and implants add to this and saline implants affect sagging the most. High profile implants also stretch the tissues more than moderate or midrange profiles. If you use a high profile implant, you will have the upper pole fullness you want... more

I'm Wanting to Get New Implants What Do You Recommend?

You need a revision mastopexy with internal support with either acellular dermal matrix or mesh

Implant exchange and breast lift for upper pole fullness

From the look of the picture, you have bottomed out and you have thinning of the breast tissue. I would recommend downsizing to a silicone implant with the breast lift procedure. This will correctly position the breast and give more upper pole fullness.

Revision

Hi Candice, Your photos show that you have bottoming out where the bottom half of your breasts have stretched out significantly resulting in low breasts with no upper pole fullness. Exchanging implants alone will not help as the new implants will drop into the stretched breast and essentially give you the same look. The lower part of your breast needs to be tightened. That is what is done in a breast lift, Therefore augmentation mastopexy would... more

Bottoming out with Large Implants

You have bottoming out of the implants and need to have the infra mammary fold established to its original position with suturing of the fold to the chest wall with or without the use of acellular dermal matrix. I would not go larger but reuse same implants or go smaller.

What to Do with Your Breasts Now

I would make sure that you are completely done with your plans for more children. If that is the case, I WOULD NOT get larger implants. I would recommend downsizing your implants, getting a lift and you may need some internal support from a material like STATTICE. DrES

Bottoming out and revision lift

It looks like you have bottoming out that is pretty significant considering that your arms are up in the photos. You probably need a revision lift procedure and +/- new implants.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast implants bottoming out

You would benefit from a revision surgery to raise the breast fold and possibly remove the extra skin. Some times just closing the lower pocket is needed and this can be done through a periareolar incision. Some time a dermal matrix such as strattice may be beneficial. Please see a board certified surgeon who has experience in this procedure.

Repair of bottoming out implants with Strattice

The photos appear to show bottoming out, which means the skin and tissues of the lower part of the breast have stretched and thinned so they do not hold the implants up. Strattice is an acellular dermal matrix that is used as sort of a living internal bra to provide both support and coverage. New implants will not solve the problem and if larger they can make it worse.

Ptosis repair needed

Currently the implants are sitting too low on your chest, and there is too much breast skin visible under the areolas. If the size in a bra is ok, the same implants can be used, and what you should discuss with your surgeon is a horizontal incision in the fold to remove the excess skin. Rather that just discarding the tissue, it could be used to reinforce the breast fold.and increase the support of the implant, to decrease the chances of this recurring. I would advise against using... more