Breast Implant Displacement & Possible Improper Dimensions After Replacing Saline Implants w/ Silicone

Question

Revision 9/21/20 to replace 17 y.o. 409 cc. implants. 5'9 & 130 lbs. Wanted a larger & wider implant more appropriate for my weight & height, & to correct displacement. "Borderline" lift need was mentioned, but nipples were at or above IMF & wanted to avoid scars. Issues apparent day after surgery. Pockets seem too large (esp the left) & 495 SSX ultra high profile implants seem too narrow for projection. Told anchor lift needed, but unsure if better implant dimensions & pocket work will correct.

Gary M. Horndeski, MD · Answer

In your pre-operative photograph, you can see your nipple where pointing outward and the breasts were low on the chest wall.  At this time, I recommend 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, smaller implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear AK33,
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

Donald R. Revis Jr, MD · Answer

Good afternoon,
Apparently your surgeon just took out the old ones and put in the new ones without actually doing any pocket work, which left you with the same bottoming out and lateral displacement that you had going in. Your pockets are too large inferiorly and laterally, which means your implants have no support below or to the sides, and this takes away all of your upper pole fullness and cleavage. I correct this with the Original Internal Bra, my strong permanent internal suturing technique, which corrects your bottoming out and lateral displacement and provides excellent long term support for your implants. I first developed this technique over 20 years ago, and today it is the most common revision I perform, 5-6 times a year- it works and it lasts! I would also recommend a donut mastopexy, not a full anchor lift, because your nipples are low and wide!

Breast Implant Displacement & Possible Improper Dimensions After Replacing Saline Implants w/ Silicone

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Everything you need to know about Breast Implant Revision

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Breast Implant Displacement & Possible Improper Dimensions After Replacing Saline Implants w/ Silicone

Answers (3)

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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.