Odd shape after implant removal / breast lift (Photo)

Question

25-year implant removal, lift and some tissue removal, going from a 36G to a 36D. However, my breasts now have an horizontally oval shape. Also, where the inverted “T” incision is on my right breast, it’s “pinned” tightly against the chest wall, causing a pucker. I wanted a less wide look, but still just as wide as before. Do you have experience with this issue and/or any suggestions to make the breast more rounded and aesthetically pleasing? See before/after photos. Many thanks

Gary M. Horndeski, MD · Answer

As you can see, your breast lift did not lift the nipple-areola complex or breast tissue. Your breast tissue is still low on the chest wall and you have nothing in the upper chest. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Alan Gonzalez, MD, FACS · Answer

Hello @mlgrvs103, thank you for your question. It is important to note that after the removal of implants, the skin and tissues of the breast may be stretched or sagging, which can lead to a less-than-ideal appearance. If you do decide to have a lift, the most optimal and aesthetically adequate option would be immediate reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) combine with a breast lift to provide a natural and lifted appearance. Please find below a video that sheds more light on the matter. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. I link a video to shed more light. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),   International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It sounds like you are going through a challenging recovery after your surgery. Please see the attached video to discuss your concerns and answer your question specifically. Every healing journey is unique, so working with your surgeon or multiple surgeons is key. They can provide personalized recommendations based on your healing progress and aesthetic goals.

Daniel Barrett, MD · Answer

Dear mlgrvs103,
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

Connie Hiers, MD, FACS · Answer

Your bases cannot be made smaller, but a repeat lift could pull in some excess skin from the sides. FYI. Taking photos with your arms elevated is not very helpful. Full frontal and sides views with arms at your sides is best.

Camille Cash, MD · Answer

To correct the shape you will need to consider a revision with potentially a reduction.  One option you may be a candidate for is auto augmentation.  This approach uses your own tissue to provide more upper pole fullness.  This is not fat grafting.  I've included a video I hope you find helpful.

Hilton Becker, MD · Answer

It is not uncommon to see this after breast implant removal
Your nipples are lateral to the normal position .
The nipples need to be moved medially and the scars revised

Mats Hagstrom, MD (license on probation) · Answer

I think your preoperative condition left you with quite a bit of excess skin.
To get a better contour, you need more skin excision, which will probably give you longer scars.
Your nipple position is also a bit low and a bit lateral.
Revision surgery should be able to improve your outcome but you need to accept your scars may need to be lengthened.
If you lost faith in your provider, then I suggest scheduling a few in person second opinion consultations with other providers.
For second opinion consultations come prepared bringing with you a complete set of property before and after pictures and a copy of your previous operative report.
These are all available from your current providers office.
Best,
Mats Hagstrom, MD

Odd shape after implant removal / breast lift (Photo)

Answers (8)

More Breast Implant Removal Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Breast Implant Removal Questions

Implant removal - is it possible to get this on medicaid?

My implant is leaking, need removed but don't have money. What do I do? It's getting infected. Please help.

Seeking expert opinions on Post-Explant Complications (Photo)

25 year implant removal - will I need a lift?

Safe to have breast implants removed with stage 4 melanoma?

Is 66 considered too old for explantation? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS