The Asymery of my Breasts and the Tissue Pulling Looks Awful and is Very Uncomfortable, How To Fix? (photo)

asked 5 months ago by LMIL in Boston
Latest answer by John P. Di Saia, MD
Question viewed 240 times
Tags: silicone implant, 7 months post-op, 250-299cc, options, pain

I am 5´5inches, weigh 120lbs. Augmentation 7 months ago. Under muscle, silicone 295cc. projection 5. I have noticed stretching and or dimpling on the inner lower parts of my breasts. I also have pain under the breasts it is a pulling sensation constantly. I am due to see my PS this Thursday 1/12/12. I am unhappy with the appearance of my breasts. Would it be helpful to adjust the position of the pockets or some such other procedure? I do not want larger implants. Any recommendations? Thank you.

9 answers to The Asymery of my Breasts and the Tissue Pulling Looks Awful and is Very Uncomfortable, How To Fix? (photo)

The Asymery of my Breasts and the Tissue Pulling Looks Awful and is Very Uncomfortable, How To Fix? (photo)

Good posted photos. Best to understand that over the internet we can only guess. Your issues are many that need in person evaluation. There is no doubt you need revision, internal adjustments and possible lift.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Asymmetry after breast augmentation

Asymmetry after breast augmentation is often related to differences in the breast size and breast envelope beforehand. A careful look back at your before photos may give insights into how the pocket worked out the way is has. Revision of the pocket on the smaller side, and a different implant may improve the symmetry, though some differences are likely to persist. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Revision Breast Surgery

Thank you for the question and photos. I think that you may end up benefiting from some type of revisionary surgery to increase the support of the breast implants. This procedure may involve capsulorrhaphy (internal suture support of the lower breast implant pocket) and/or breast lifting. I would suggest that you ask your plastic surgeon to demonstrate experience with similar situations. Best Wishes!

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Time to review your preop photos

As has been said, you will probably see most of your issues, asymmetry and sagging back from before the augmentation in your preop photos. The augmentation just magnifies who you are and makes these issues more apparent. You will probably need a larger wider implant on the smaller side or else just lift them both and reduce the biger one leaving the implants alone. Don't handcuff your doctor out of being able to do what you need just because of cc's in the implant... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Correcting Sagging Breasts AFTER Breast Augmentation

Everyone has some facial and breast asymmetry. The asymmetry you are unhappy is merely preoperative asymmetry which was made more evident by the 295 cc beast implant placed 7 months ago. Your ? Right breast appears smaller than the left AND it appears from this frontal view the implant may have undermined the breast fold. If this is the case, a repair may be needed. Otherwise, I would place a slightly larger implant on this side and perform a Breast Lift to get you much perkier breasts... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Unhappy with breast aug

You have some asymmetry of your breasts which I would guess you had before your surgery. It also looks like you have ptosis, sagging, of the breasts. I would recommend getting a formal lift procedure, or mastopexy. Especially if you do not want to go any larger, which I would not recommend doing or you're going to have larger saggier breasts. Discuss with your surgeon and go over your pre-op photos.

Ronald Schuster, MD
Baltimore Plastic Surgeon

LIft and capsule work

Hello, What you will want surgically really depends upon the look you want. This is something to discuss with your surgeon before more surgery is undertaken. It looks like a lift plus or minus capsular work to me, but you need an examination to determine the best treatment. Best Regards, John Di Saia MD see video

John P. Di Saia, MD
Orange Plastic Surgeon

You may have capsular contracture based on the pain and pulling sensation.

You will need in person consultation to evaluate your breast for capsular contracture and pectoralis muscle position. You may need capsule revision,lift and possible fat grafting for he cleavage.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Revision surgery following breast augmentation

It appears that you had a good deal of breast sagging and asymmetry prior to your procedure so it would be helpful to review your pre operative photos as well. From what I can see your right areola is much wider than the left, this leads me to believe that you have some degree of tissue and breast laxity. This would account for your post operative appearance. It also appears that the left breast is smaller than the right and you have some degree of capsular contracture.... more