What could be causing asymmetry and drooping of right breast? 6 months post revision, 355 CC moderate profile implants (photos)

Question

I had my surgery feb2022 355CCmoderate profile Breast implants.After settling my right breast dropped really low. Making it look really saggy.August2022 I had a revision to lift that breast up with a areola lift method.My surgery told me that after that my Breast will eveno with the other one and they will look so so symmetrical.Well that wasn’t the case.After the revision the right boob started shifting down wards again and at this point I am super unhappy with my results.what can be happenig?

Ronald J. Edelson, MD · Answer

Your degree of asymmetry is not bad at all. You could have a full lift done but it’s not worth the scars and probably still won’t be perfectly symmetrical

Zoran Potparic, MD · Answer

It would be very difficult to give you a good advise without in person evaluation. Consultation with a board certified plastic surgeon with good reputation in breast surgery is recommended. Good luck.

Daniel Barrett, MD · Answer

Dear Kayah85fl,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

We are all asymmetrical to some degree and yours isn't too bad.  The shift could be from the skin envelope not being strong enough to support the implant.  You may be a candidate for mesh to give better support.  You could consider possibly a smaller implant.  Always be sure to use a good supportive bra especially when exercising.

Connie Hiers, MD, FACS · Answer

Your tissue is not supporting the weight of the implant well and you would do better with an internal mesh bra to give support. Also, while healing, avoid heavy lifting.

Douglas Taranow, DO, FACOS · Answer

Kayah,
While I agree the breasts are asymmetrical, they are not very bad (Remember, they are sisters, not twins!).
Preoperatively, it appears in the photos that your right chest wall is naturally more convex (curved) which allows the implant to settle more laterally (this is a factor of your anatomy, not your surgeons expertise).  The right implant also appears to be a bit lower that the left.  if this is true, then a capsulorrhaphy (suturing of the bottom of the right capsule to elevate the implant and breast) would be indicated.
A physical exam would answer these questions.
Best wishes.
Dr. Taranow

Mark Eberbach, MD · Answer

It is really a shame you feel that way.

Your results are beautiful.

How would you change them? You need to be clear and realistic regarding your expectations

What could be causing asymmetry and drooping of right breast? 6 months post revision, 355 CC moderate profile implants (photos)

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