Breast Implant Revision Q&A

86%

WORTH IT RATING

154 Reviews

Ask a Question

Breast Implant Revisionbefore & after photos

View Before and Afters

Average Breast Implant Revision Cost: $7,100

Learn about Breast Implant Revision

943 people and 512 doctors are talking about Breast Implant Revision

Get Free Email Updates

Unhappy with Final Breast Aug Result - Placement Too Low?

asked 1 year ago by Lillabel in Charleston, SC
Latest answer by Tom J. Pousti, MD
Question viewed 2,225 times
Tags: age 25-34, 110-129 lbs, 5 ft 4 in to 5 ft 7 in, silicone implant, 200-249cc, A cup, Mentor, moderate profile, placement, subpectoral

I had a sub-pect. BA 10 weeks ago. I requested a "natural" look, but I also wanted them to sit in a youthful, not low position on my torso. I am 31, 5'5", 120lb, 4 kids. I also body build. I had 200cc round mod Mentor silicones placed, wanting a smallish but shapely result. I'm disappointed--I wanted them to be a bit higher on my chest wall, with a little more upper pole fullness/shape. I think they look too low/sad. I was an empty 34AA before with no real sag. Please help--can they be improved?

13 answers to Unhappy with Final Breast Aug Result - Placement Too Low?

Breasts too low

Breast implants rest on the breast crease or fold. Breast implants are circular devices ( for the most part). If the circle is too small, it will not reach high enough to give the desired upper pole fullness. You need a bigger base diameter or an anatomical shaped implant to give more upper pole fullness ( you also have some breast differences which need to be addressed with different sized implants and/ or a breast envelope altering procedure.

Sam M Sukkar, MD
Houston Plastic Surgeon

Implant settling too much may require revision

Please keep in mind that none of us can give you specific advice without seeing you personally. What I see in the photo looks like the right is shaped differently than the left in addition to being higher. This can be due to a number of things, including asymmetry of your rib cage or a unilateral capsular contracture. The implants need to be positioned within the existing base foundation of the breast. If they are too low then a procedure called a capsulorrhaphy can be done to move them up. more

Richard Baxter, MD
Seattle Plastic Surgeon

Implant placement question

Based on the fact that the incision is just slightly up on the breast your implants amy have settled a tiny bit low. The biggest problem (and not uncommon) is that you really didn't communicate to the doctor what you wanted because 200's are tiny implants and won't give upper pole fullness. You will probably need a revision with suture repair of the lower pocket and larger fuller implants to get what you want.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Breast implant revision

Thank you for the question and good quality pictures. I agree with your assessment that the implants may be slightly low in relation to the nipple- areola complexes. Revisionary surgery will likely involve lower pole capsulorraphy ( use of internal sutures to repair the inframammary fold areas. If revisionary surgery is decided upon, it will be very important to communicate your size goals with your surgeon. In my practice, the use of photographs of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast implant revision Wait!

Thank you for the selection of post op photos, I have a feeling that if we had seen your pre op photos that much of this asymmetry would be present before surgery. Massage can lower the implant that is higher, taping the fold can help raise the breast that is lower. A bigger implant will give you more fullness. You have a lot of options, some nonsurgical, some surgical. Stay in close communication with your surgeon, don't panic and feel free to voice your concerns.

Charles Virden, MD
Reno Plastic Surgeon

www.virdenmd.com

Low implants

The good news is that your breasts do look very natural and pretty. I do agree that they are a little low. I would recommend that you start wearing a tight fitting bra or inferior breast band 24 hrs per day in an attempt to close up the inferior capsule. You definitely do not want the implants to fall any further. If this fails, wait at least 6 months postop then consider revision surgery. This should be relatively simple as the capsule will have formed. A larger... more

Cynthia L. Mizgala, MD
Metairie Plastic Surgeon

Implant position

Ideally should be symmetical and level on the chest. Still, asymmetries can and will occur. I hope you can discuss your concerns with your surgeon who did this for you. Waiting to allow for complete settling of your implants is strongly suggested before considering any further interventions. Hopefully the time and settling will resolve your concerns. Your size you picked is not very large by my patient's standards and I hope you were able to visualize your... more

Curtis Wong, MD
Redding Plastic Surgeon

Implant Postion after Breast Enlargement - Too Low?

Hi Lillabel, There are many factors that go into the final appearance of breast implants and while it's tempting to assume that all factors are under the surgeon's control at all times, that's not necessarily the case (or, more accurately, really not the case at all). Your final result depends on what you look like before, the surgery that is done, and the way that your body heals after that surgery. So whereas 200 cc implants might give the look you want in someone... more

Alan Engler, MD
New York Plastic Surgeon

Implants and natural?

Higher implants would not be as natural. If that is what you want, you probably need a wider base implant and one with some more projection. An exam would allow me to be more precise.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Aug Result - Placement Too Low?

Regarding: "Unhappy with Final Breast Aug Result - Placement Too Low? I had a sub-pect. BA 10 weeks ago. I requested a "natural" look, but I also wanted them to sit in a youthful, not low position on my torso. I am 31, 5'5", 120lb, 4 kids. I also body build. I had 200cc round mod Mentor silicones placed, wanting a smallish but shapely result. I'm disappointed--I wanted them to be a bit higher on my chest wall, with a little more upper pole fullness/shape. I... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

You would benefit from bigger implant and pocket revision

Your right implant pocket and implant is too low. You would need pocket revision and bigger implants. I do offer my patients that want natural breast, fat injection as an alternative to the implants.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Unhappy with Final Breast Aug Result - Placement Too Low

I think to achieve your goals you will need a larger implant, and not necessarily a higher positioned one because the current implatns appeara to be resitng on your natural anatomic crease. However a larger implant may not be compatible with your lifestyle.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Augmentation, from San Diego

The implants may have settled slightly. See your plastic surgeon to discuss your concerns. To lift the implants, I would wait, several months at least, then if you still are dissatisfied, consider re-operating to raise the implants slightly by opening up the upper pocket allowing the implants to be placed higher, and reconstructing a slightly higher inframammary crease. This is a delicate procedure, and still may not end in a "perfect" result. 200 ml are... more