Breast Augmentation Revision w/ or w/out breast lift - would I be a good candidate? (photos)

Question

I had 300 cc saline implants done in 2004. I have animation deformity pretty badly and my left breast has dropped. (pictures make it look a lot worse than it is) In addition there is a gap between my breast bone and the implant and I have pain in my left ribs due to the implant sitting on them. My PS suggested that we move the pocket to subglandular and go up in size (I don't want a full lift - he tried) Would I be a good candidate for a donut lift or will a pocket/implant exchange fix it?

Donald R. Revis Jr, MD · Answer

Good afternoon,
You do have some bottoming out and lateral displacement of your left side- which is commonly associated with discomfort or pain- and I'm sure it falls off to the side when you lay down. I think you would benefit from a donut mastopexy because your left nipple has also been pulled down into a lower position, and a donut mastopexy can lift both sides to a level position. What I totally 100% disagree with is moving to over the muscle- that does not and will not correct your bottoming out- it will only place you at a higher risk for capsular contracture and lead to faster sagging. Ask your PS about what I have said- I'm afraid they don't quite understand long term breast implant problems and their correction. I correct bottoming out and lateral displacement with the Original Internal Bra, my strong permanent internal suturing technique. And I stay under the muscle. I first developed this technique over 20 years ago, and today it is the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts!

Richard Baxter, MD · Answer

Based on the photos you could probably have a Benelli lift on the side that has the lower nipple. Correction of the animation deformity needs to include muscle re-attachment, which can be done when implants are moved to the subglandular or subfascial plane, or by converting to the split muscle plane.

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, the implants can be exchanged.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Beautiful490340,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Measurements are needed to be sure, but you might be a candidate for the doughnut lift.  Placing the implants in front of the muscle will increase the risk of sagging over time.  Your pocket can be tightened to help lift you implant. I do not recommend going larger since the implant will then be heavier and more prone to sag.

Breast Augmentation Revision w/ or w/out breast lift - would I be a good candidate? (photos)

Answers (5)

Answer: Revision surgery

Answer: Revision surgery

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Implant Revision

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Breast Augmentation Revision w/ or w/out breast lift - would I be a good candidate? (photos)

Answers (5)

Answer: Revision surgery

Answer: Revision surgery

Answer: Breasts

Answer: Breasts

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.