Ximena Pinell, MD

That is a large implant. Your dimensions are an important starting point to picking an implant, but your overall size goals matter! Implant selection is usually done using sizers or an imaging tool so you have a visual of what to expect. I'm sure your surgeon did some of this with you, but checking in to confirm your implant selection might be a good idea!

Get your colonoscopy first, and then tackle the breast implant revision. The colonoscopy is an important screening, so in my view takes precedence. Also, there can be transient translocation of bacteria into the bloodstream if anything is biopsied, and you would not want that to reach your implant!

I would ask your surgeon about this! I use sizers routinely, and using different implants is common when there is an asymmetry to begin with. That said, you should not have to worry that you will have a different implant placed than you decided on. Patients will often entrust me with that final call, but clarify this important point with your surgeon beforehand!

With the implant being on the smaller side, I wonder if this difference reflects an asymmetry of your natural breasts. If so, it could be improved with a slightly larger/wider implant seated a bit more medially (toward the center). The other scenario could be an underdeveloped pocket toward the center. The fix might involve correcting that and different implants to account for a slight volume asymmetry. Your original surgeon will have the best handle of what is going on. Good luck!

You should look great with breast augmentation alone! I do not believe a lift is needed here. Best of luck!

Congrats on the weight loss! Unfortunately I don't think you would be served well by a pure augmentation. The breast would tend to hang off the implant and the nipples would be off center. I think you would do great with a mastopexy (breast lift) and augmentation.

It's hard to tell from a photo if your overall shape might benefit from a lift to tighten the skin and center the nipples. A breast augmentation alone won't change outward pointing nipples, but it could still look great! Make an appointment to talk through your goals and decide what would work best!

While that is a pretty wish pic, you can expect a breast implant to sit more in line with your current natural breast. Since the bottom of the breast is tight (a short distance from the nipple to crease), the implant will tend to sit a bit higher. Over time, it will stretch some for a softer, more natural look.

Hi there! It can be hard to tell from photos if one breast is too high, the other too low, or a little of both. Breast implants can sit high due to scar tissue formation, which also would make that side more firm. If the situation is more that one breast has bottomed out, that may be from stretching of the connective tissue. A good fix in these situations is to add an internal mesh to support the implant Hope this helps!

Hello! Sorry to hear. Pain at this late stage is not common. One possibility is that the scar tissue around the implants has thickened and is bothering a nerve in the vicinity. I would check in with your surgeon for a good exam. In the meantime, adding a little support, i.e. a snug bra, may help. Good luck!