23, tuberous breasts, 245cc, Motiva, Ergonomix®️ round - are my implants too low? (Photos)

Question

5 months ago i got my 1st breast augmentation. I am 23 and previously had small tuberous breasts. My surgeon implanted 245cc Motiva Ergonomix®️ Round. Now i am unhappy with the results. I feel the implant on the lower pole, and don't have any cleavage. The scar has moved up slightly. And my breasts look lumpy as though the previous breast tissue is just sitting on top of the implant forming a triangle tip. Do i need a revision ? Or will a fat transfer fix this?

Gary M. Horndeski, MD · Answer

In your pre-op photo, you can see your breasts were not tuberous but widely separated.  Unfortunately, the approach was through the inframammary fold and the implants were centered underneath the nipple-areola complex and that is why it is low now.  At this time, you need a circumareola approach to reposition the nipple-areola complex more medially and plicate the implants inferior to make them more on top.  Fat transfer alone will not reposition the nipple-areola complexes.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Yes, your implants, especially on one side, are sitting a little low. Please discuss your concerns with your surgeon. Even though you covered your nipples in the preop phot, you do not appear to be tuberous.

Mats Hagstrom, MD (license on probation) · Answer

Breast augmentation outcomes are generally based on three variables.
The first is the patient’s candidate for the procedure. The second is implant selection in regards to size shape and type. The third variable is the surgeons ability to put the implants in the correct an atomic location.
 Based on your pictures, it does seem like your implants are sitting low and they are currently bottoming out.
The problem with the outcome of your procedure is based on the third variable or the surgeons placement of the implants which most likely opened the IMF or infra mammary fold.
Correcting implants that have bottomed out isn’t fairly involved revision procedure.
The surgery aims at closing the pocket in the lower pole of the breast, permanent sutures with or without mesh or dermal cadaver products.
The suggest you follow up with your provider or schedule a few in person, the second opinion consultations with other plastic surgeons in your community.
If your surgeon did not place the implants correctly during the primary procedure, then your surgeon may not have sufficient skill to correct a bottom out deformity.
 You should vet plastic surgeons in regards to their experience, correcting this deformity asking them to show you their entire collection of before and after pictures of correcting bottomed out implants.
If the revision is not done correctly, the condition will recur leading to more revision surgery.
It’s really important you find a plastic surgeon who is treated this condition successfully multiple times in the past.
 It’s not an easy or straightforward thing to correct can be done successfully in the hands of the right provider.
For second opinion consultations come prepared to bringing with you a complete set of proper before and after pictures and a copy of your previous operative report.
These are part of your medical record and can be obtained by simply requesting them from your current provider.
You definitely need a proper revision fat transfer will not correct this problem.
 Best,
Mats Hagstrom MD

23, tuberous breasts, 245cc, Motiva, Ergonomix®️ round - are my implants too low? (Photos)

Answers (3)

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Everything you need to know about Breast Implant Revision

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23, tuberous breasts, 245cc, Motiva, Ergonomix®️ round - are my implants too low? (Photos)

Answers (3)

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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.