Uneven after exchanged 450cc (filled to 585cc) saline for silicone 700cc, Mentor ultra, advice? (Photos)

Question

I had saline 450 cc filled to 585cc in 2006. In 2023 I suffered a rupture left side. Had them replaced 6 months ago with 700cc mentor ultra profile. I had zero Asymmetry issues before. But now the right implant is noticeably larger and sits slightly towards my armpit. I also lost all upper pole which is very disappointing. My breasts looked like they do now immediately after surgery which makes me think they were positioned incorrectly.

Daniel Barrett, MD · Answer

Dear jtroyer1980,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

You're photographic record clearly shows you did not have symmetry prior to surgery, remained to have asymmetry with your saline implants, and now have approximately the same asymmetry. The only difference is that the size of your breasts kept growing, magnifying your pre-existing asymmetry along the way. The problem is one breast has a larger soft tissue envelope. To give you the benefit of the doubt, one implant may be sitting a smidge lower, but most of what you see you came with from the start.

Gary M. Horndeski, MD · Answer

In your before photograph, your breasts were low on the chest wall and you needed a lift.  Implant alone will not provide a satisfactory result.  At this time, I recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

One side is a little larger, but you were not even to start. If that bothers you, please discuss this with your surgeon.  Your initial surgery appears that your surgeon selected large implants to avoid a lift. However, volume will not replace a lift.

Kenneth R. Francis, MD, FACS · Answer

Dear jtroyer,
Your breasts were asymmetric in shape, size, nipple position and fold origin from day one.  I inform my patients that sometimes when you enlarge the breasts it will enlarge the asymmetries.  In my opinion, your breast implants are too large for your body habitus.

Uneven after exchanged 450cc (filled to 585cc) saline for silicone 700cc, Mentor ultra, advice? (Photos)

Answers (6)

Answer: Breasts

Answer: Breasts

Answer: Breast asymmetry?

Answer: Breast asymmetry?

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Everything you need to know about Breast Implant Revision

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Uneven after exchanged 450cc (filled to 585cc) saline for silicone 700cc, Mentor ultra, advice? (Photos)

Answers (6)

Answer: Breasts

Answer: Breasts

Answer: Breast asymmetry?

Answer: Breast asymmetry?

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.