Will I need a full revision to correct my right breast implant? Increased in size, flips and falls into armpit (photo)

Question

I had my first set of implants in 2015, and had them replaced in 3/2023 due to capsular contracture. Went from 425cc silicone to 450cc highly cohesive silicone, only to get a massive hematoma in the left breast along with a very large indentation (also had fat transfer done to breasts), a week later had them redone, but was convinced to go to 520cc. Now, the right side literally feels unattached, it’s flipped on me several times, and falls into my armpit. Full revision? Or mesh? Sooo defeated!!!

Daniel Barrett, MD · Answer

Dear stefedwards,
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

Gary M. Horndeski, MD · Answer

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

First, your implants are way too large and heavy for your tissue and frame. You need to go smaller. With capsules formation, it is always best to go down in size, not up. Second, you may need mesh to repair your space because of the stretching these large implants have done. You tissue is not supporting the weight because it is stretched too thinly.

Will I need a full revision to correct my right breast implant? Increased in size, flips and falls into armpit (photo)

Answers (3)

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.

Will I need a full revision to correct my right breast implant? Increased in size, flips and falls into armpit (photo)

Answers (3)

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.