How can I encourage more drop/underboob for my revision? (Photo)

Dear CLM25,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The real issue isn't that the lower pole of your breasts haven't filled, it's that your reference point of where the lower pole begins (your nipple areolar complex, NAC) is too low. This is because you started off with a constricted breast and a short nipple to fold distance. Fortunately, your surgeon didn't do the wrong thing at your first surgery, which is done all too often, and lower your fold; you would be contending with double bubble and severe dynamic breast deformity. Instead, imagine if your NAC were higher, and you could see more breast skin below them, like in your wish pic! So, the surgery you need is removal of current implants, targeted scar capsule removal or incisions, replacement with new, larger implants (all via an inframammary incision), and a vertical breast lift (lollypop scar).

At this time, I recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.