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8 Weeks Postop Small, Flat, and Shapeless After BA with Mastopexy?

I am 5'5, 200 lbs. Had removal of ruptured old 225 cc implants, mastopexy, and new implants, 475 cc HP gel under muscle, to give me BIGGER boobs. Preop I was DD cup; big round boobs that I loved. Now I have wide, flat, shapeless boobs, can't fill out a B cup bra. Saw PS last week, she had no explanation for me, offered me redo without her surgeon fee. I don't understand what happened. How am I smaller with bigger implants after surgery than before surgery with implants half the size?

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6 Doctor Answers | Asked by Rocky Mountains in Colorado

Doctor Answers (6)
Community Comments (1)

Now I have wide, flat, shapeless boobs

To really answer a question like this all of us need pictures before and after surgery. Any surgical result depends on what was the shape before surgery in order to compare to what the result was after surgery. It sounds like you have a reputable surgeon that is trying to help you achieve the result you wanted. Good luck

Breast augmentation swelling

Most likely, all of the swelling disappeared from your breasts. Many patients do like the "swollen" look and if so you may need to have much larger implants placed. see video

Smaller Breasts After Breast Augmentation?

It is hard for me to understand this issue also without a picture. There may not have been an adequate mastopexy performed, may the implants are displaced, etc. Revisiting with a picture may allow you to get better direction. Dr. ES

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Unhappy after Revisionary Breast Surgery?

I'm sorry to hear about your dissatisfaction after revision breast surgery. Breast size before and after breast implant removal/replacement and mastopexy surgery can be somewhat tricky. There are many variables involved including changing the native breast skin envelope and positioning on the chest wall. These changes alone can cause the breasts to appear smaller to the patient. In other words, the change in breast size that you are perceiving should be understood in... more

Smaller and flatter after replacement with larger implants

I suspect that you had tight capsule contractures with your old implants. This causes the implant to become round like a ball. This gives you additional projection at the expense of being hard. Based on your weight I suspect you have a fair amount of breast tissue on your own (may have changed since your original surgery). Your larger breast basically "swallowed up" the implant.

Small, Flat, and Shapeless After BA with Mastopexy

This situation is difficult to understand. It's quite impossible to make a gas without seeing some pre-and postop photographs. Please consider attaching them to your question and those of us will try to answer these questions will have a chance to give you a reasonable response. Thank you and best wishes.

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Comments (1)

Rocky Mountains
8 months ago

It's me again, the original poster, and I'm now 4-1/2 months postop. My breasts have dropped, maybe a tiny bit fluffed but I'm still an A or B cup. I feel that this is likely my final result. My breasts still look like pancakes-wide and flat, though not as square as they were. My PS is suggesting 950 cc HP silicones OVER the muscle. I'm so confused and now I'm very anxious and worried, and if I can afford a revision am sure I'll go into surgery in a pretty anxious state of mind, whereas on this prior surgery I went into surgery happy, excited, and looking forward to great (not perfect) results. There are no words to express how the impact and sadness of these results impacts literally every aspect of my life, and I am NOT a depressed, sad, or anxious person--never have been. I know it's a complicated procedure and I'm sure my PS is the best (in my area) and I don't believe she screwed up. I'm just wondering why, if this is a typical result of this surgery, there isn't more information online and why we as the patient aren't better prepared for the aesthetic results afterward. And I now believe this IS a staged procedure, even though the BL/BA were done together because it seems that revision rate is quite high. Bottom line is I'm very, very sad, and extremely anxious ( a new feeling for me) about undergoing another procedure, if I can afford it, in the hopes of obtaining a more pleasing, or "normal" result.

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