Unhappy with breast augmentation: tuberous shape, symmastia concerns, and red lines – can this be fixed? (Photo)

Dear marianap,
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

Thank you for your question. I have been in practice for 30 years and breast revision surgery is a large portion of my practice. In fact, I wrote the first paper on internal bra-capsulorrhaphy in 1999. Your outcome is not optimal. The good news is that this can be fixed. I would recommend a medial capsulorrhaphy's-internal bra as well as repositioning of your areolas to the center using a doughnut technique. You should be able to have An excellent result. Best wishes to you.

In your pre-operative photographs, you can see the nipple-areola complexes were widely separated and you have very little cleavage. Unfortunately, the surgeon placed the implants more medial than your nipple-areola complexes and that is why your nipples are pointing outward. Also, the medial dissection results in symmastia. At this time, you would benefit from implant removal, need pockets formed and new implants placed. This should be done through a circumareola approach to reposition the nipple-areola complexes more medially.

Best Wishes,

Gary Horndeski, M.D.