Breast Implant Revision: Q&A

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What is Wrong with my Breast Implants? How Can They Be Fixed? (photo)

Let me start off by saying, I hate my breast implants! I've had them 3 years. Before surgery I was 130lb, 5'7 and 34B. I am now 135lb and 34D-DD (21yo). They have always looked "weird" and saggy, even just a few months after the surgery. Its like the implant is stuck to the back of my breast and my real breast just sits in front. When I flex the muscle there is a dramatic difference (double bubble?). Sitting normal they are saggy, and from the side you can always tell where the implant is. Help?

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sagging B to D cup

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7 Doctor Answers | Asked by amoore2612 in Nashville, TN

Doctor Answers (7)
Community Comments (0)

“Weird” and Saggy Breasts?

Thank you for the question and pictures. I think your description is quite accurate and matches the pictures you have provided. Revisionary surgery is definitely indicated. Although difficult to give precise advice without direct examination, I think some combination of capsulotomy/capsulectomy will be necessary to release the pectoralis muscle “grip” on the breast implants. Once this is done, some skin “tailoring” ( probable breast lifting)... more

Revision of breast augmentation

I strongly disagree with some of the responses so far. This problem was caused by the original surgery or how it healed although in three years it's possible that there has been some degree of capsule contracture or sag (ptosis) of the breast over the implant. The original implant looks too wide to fit in behind the width of the released pocket behind the breast properly so it moved up where there is more space for it. The lower pole of the breast was inadequately released so... more

Repair of saggy breasts

Your pictures are very informative. I would first ask how you feel about your size. A change in implant size needs to be addressed if you desire more or less volume . Also since you are 21 silicone is not an option. Next the nipple is too low in relation to the breast mound. Most likely a lift will be needed. On the last picture (left lateral view) it is evident you have a double bubble. This can be repaired at the time of surgery by... more

Randy Proffitt, MD

3 reviews

Mobile Plastic Surgeon

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Correcting the Double Bubble

Looking at your pre-operative photographs, you obviously needed a mastopexy at your first procedure combined with possible implants if you wanted to be larger. Now you have implants high on your chest and your breast tissue is hanging too low. If you want to keep the size you have, you can maintain the same implants but you will need a mastopexy. This can be done through a circumareolar approach and elevate your breast tissue so it lies on top of your breast implants. ... more

Breast revision surgery

It looks like you may need some type of revision based upon your physical exam. The breast is being squeezed in a funny way as the muscle flexes.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

You would benefit from implant pocket revision and lift(maybe)

Your pictures indicted implant and breast tissue separation and sagging of the breast tissue off the implant. This can be due to the improper implant placement,capsular contracture or combination. You have mild ptosis based on your pictures which may be misleading due to the camera angle. Please send front pictures without holding the camera.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast augmentation issues

The photo you provided from the front is not a straight on frontal view but rather a photo taken from above which makes the nipples appear lower than they actually are.It appears you would however benifit from a revision. I would suggest a straight on view from the front and a side view from each side.

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Breast Implant Revision: Q&A