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Breasts Don't Look Right After Augmentation

asked 1 year ago by sage111 in Albuquerque, NM
Latest answer by Chen Lee, MD
Question viewed 1,177 times
Tags: breast tissue, complication, drop, pain

I had PS breast augumentation and lift in July 2010 with basically same results as pictured. Flew to PS in January 2011 b/c he said implants needed to be "dropped" in place. He opened me up, found tissues around nerves- oh! so, the intense pain I'd had WAS real, and also ended up re-doing the lift.

Now,PS sees results of recent (March 2011) photographs, and says I just need to come in and have the implants dropped! I think it's more complicated. SOMETHING IS NOT RIGHT!

14 answers to Breasts Don't Look Right After Augmentation

Breasts don't look right after lift and augmentation

Your results demonstrate the 'waterfall deformity' that is often seen after an augmentation/mastopexy in which the implants have been placed under the muscle. The muscle holds up the implant, but the breast sags below. This sets the stage for numerous revisions of the lift, and is the main reason for the great number of poor results with this procedure. We are all well acquainted with the advantages of retropectoral (under the muscle) placement of implants. In the... more

Eric Pugash, MD
Vancouver Plastic Surgeon

www.vancouvercosmeticsurgery.ca

Breast implants with snoopy dog deformity

Tough situation for you to be in. I agree with Dr. Marosan that you should find a ABPS certified surgeon close to where you live. Although, tough to assess without an examination, you might be better off having the implants removed and stage the augmentation. The other option is to change your implant pocket to a subglandular plane or dual plane augmentation to prevent the snoopy dog deformity. Dr. V South Shore Plastic Surgery more

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon

Undesirable results following a breast enlargement and lift

As noted by the multiple comments of the other plastic surgeon respondents, you definitely have several issues that need to be addressed. It appears that your breasts are cascading off the implants which do not appear to have been placed at the same or appropriate level. The lift performed has been inadequate in several ways. It also seems that the implants chosen were not ideal for your situation. Your photos are quite helpful. A physical examination will allow for more precise... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Unsatisfactory result post augment lift

From your pictures it appears that there is a discrepancy between the implant pocket which is sitting higher than the skin pocket. The best approach to address this it to re explore your breast and at that time verify if the muscle has been released in the inside lower corner and then remove the inferior pole scar tissue capsule, a partial capsulectomy, to allow the implant to drop into the skin pocket. This would fill out the lower pole and eliminate the upper pole fullness. more

Roger J. Friedman, MD
Bethesda Plastic Surgeon

You will need revision and breast lift

I have to say that your problem is very common and more frequent than reported in our plastic surgery publications. You have your implants under the muscle and your breast tissue is falling off the implant. You already had one revision and I would suggest that you get more one opinion before your next surgery. I specialize in redo breast implants and I been offering my patient implant removal and fat grafting . Please check my web site for examples.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

When breasts don't look right after breast augmentation

You are right. When breast don't look right after breast augmentation something is wrong. It is evident from your photos that the breast implants are high on your chest projecting over the nipple, and it is not clear if the pocket is over or under the muscle. The implants appear too large and oval on your chest, and you are right, this is probably nothing to do with simply dropping the implant. We suggest a different surgeon, different implant, and different pocket well centered under... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breasts Don't Look Right After Augmentation

It appears to me that you still have skin laxity and that perhaps your surgeon did not tighten the skin enough over the breast mound and implants; additionally the implants may have not been lowered enough in the pocket. You should consult with surgeons who post exceptional photos for aug/lift procedures. Good luck!

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

www.drbandy.com

Breast Don't Look Right After Augmentation

High riding breast implants are a common complication of sub-muscular breast augmentation. Consistently right after the operation implants seem a little bit higher when the implants are placed under the muscle, but the majority of the time they drop in their natural position and given a patient a more natural look. Frequently, the plastic surgeon advises the patient to massage the breast downwards during the few weeks after surgery. Rarely one or both of the implants may not drop into their... more

S. Ozan Sozer, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

Breast augmentation and lift done at the same time, is it OK for all?

Thank you for your photo. I personally stopped doing augmentation and lift together years ago. You can read my previous answers about this and the reasons. Here you are after two surgeries and still do not look like you had a good result. You have a snoopy deformity, the breast tissue slides off the implants. Your right areola is already larger than the left and your nipples are below the crease. You need to see a local board certified plastic surgeon and not "fly in" to some... more

George Marosan, MD
Bellevue Plastic Surgeon

www.bellevueplasticsurgeons.com

Breast augmentation -getting it right the first time

Your concerns are valid in that the photo shows high implants that are squeezed into a rectangular contour. Possible causes of this capsular contracture, include implants that are too large in terms of base diameter for your chest, pectoralis major muscle pull and deformation of the implants, creation of too small a pocket for the implant to fit into or some combination of these factors. What is needed to correct the situation depends on which of these is present. My response to your... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Your subpectoral placement of implants has made the condition worse

A revision of the mastopexy alone will not be sufficient. At best it will temporarily help until this soon returns. More predicatable in outcome wound be to exchange the implant into a submammary plane along with a redo of the mastopexy. This would be best managed with a silicone cohesive implant.

Chen Lee, MD
Montreal Plastic Surgeon

Breast augmentation revision

Without seeing you in person and feeling the breasts there is no way to say accurately what needs to be done. Everyone on here including myself would be merely guessing. Go to a couple of consults with board certified plastic surgeons and see what they recommend.

David E. Kim, MD
Beverly Hills Plastic Surgeon

You are correct!!

From the pictures it appears that you have what is called a "Snoopy deformity" of the breast. Simply means that your breast tissue that is ptotic is overriding the breast implant and descends below the center of projection of implant. This usually happens when a breast augmentation is performed with out a breast lift in some one that has ptotic ("sagging") breast. As you stated you did have a breast lift procedure performed. In your case it is possible that you may need a more... more

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Unfavorable breast outcome

It looks like your breasts are falling off the implants. Some surgeons place the implants under the muscle completely and do not release the muscle. I suspect that this is the case, but I can not tell for sure without seeing the op report, doing an exam and possibly not knowing for sure until surgery is performed. But you need a revision.