Would a breast revision help me achieve a more even look and correct loss of sensation and popping feeling? (photos)

Question

Hi, I am 2 years post op breast aug. Does it look like a breast revision could help make my breast look more even? If I press underneath my left breast I feel a "popping" feeling? As if I am able to push my implant. While my right breast does not have the same feeling. I lost sensation in right nipple, but feel like I will have problems with my left breast as time continues. Any advice?

Randal Haworth, MD, FACS · Answer

A breast revision, in good hands, could help you achieve the results you want.

If I’m not mistaken, based on your photos, it looks like your left breast is larger than your right which goes against a diagnosis of simple capsular contracture. Though uncommon, you could have capsular contracture with fluid in there which accounts for the larger size.

Of course, an « in person » exam is necessary.

I hope this help,
best of luck !

Daniel Barrett, MD · Answer

Dear Sanantonio1234,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gianfranco Frojo, MD · Answer

I would recommend a revision that would include downsizing the implants, placing an internal bra (Galaflex) for support, and a lift (mastopexy). The implants appear to be too large for your breasts. The left side has bottomed out an you can see the double bubble deformity starting to form. Please search for an aesthetic fellowship trained plastic surgeon with experience in revisionary breast surgery. This is a complex issue that needs careful analysis and planning.

Zoran Potparic, MD · Answer

Based on these photos, there are sevaral issues that cause asymmetry. First, areola asymmetry in size and position; this will need areola reduction and lift. Second, symmastia, your breasts are too close, will need some separation. Third, double bouble deformity. Possibly too large implants? All of these can be addressed in one surgery. There is no garantee hat any of these will improve nipple sensation, unfortunately. In person consultation with a board certified plastic surgeon with good reputation in breast surgery is recommended. Good luck.

Ryan Rebowe, MD · Answer

Your left breast appears to have bottomed out a bit with the implant displacing the skin slightly inferiorly. A revision with a capsulorraphy can help with this. In terms of the sensation of the nipple, there is unfortunately no surgical revision that will bring the sensation back. Although not typical, breast augmentation procedures can have an effect on nipple sensation even when performed perfectly.

Farbod Esmailian, MD · Answer

What you are describing sounds like you have implant palpability. And based on your photos it does appear that you have double bubble deformity which would explain the implant palpability that you have. A breast revision would help things for sure. Your sensation obviously will likely not return given that you are 2 years out from your surgery.

Make certain you see a board certified plastic surgeon who has a great deal of breast surgery as well as breast revision surgery.

Hope that helps.

Make certain you see a board certified plastic surgeon who has a great deal of breast surgery as well as breast revision surgery.

Hope that helps.

Connie Hiers, MD, FACS · Answer

More surgery will not improve your sensation. Your implants now are too large and heavy for your frame. the popping sensation is from your thin tissue over the implant. You also have some bottoming out on one side from the stretching and thinning of your tissue from the weight of the implants.  going smaller and tightening the pockets could be helpful. You may even need some mesh for support.

Ralph M. Rosato, MD · Answer

The left implant has fallen below the base of your breast. It needs to be replaced in the anatomic position. I am sure your surgeon can identify and remedy this situation.  It appears that the implant is too wide for your left breast. God luck.

Camille Cash, MD · Answer

From your photos it appears that revision surgery could help with the asymmetry you have.  Change in sensation is a risk with breast augmentation.  If you have not regained your sensation after two years it is not likely to come back even with further surgery.  I encourage you to visit with a board certified plastic surgeon to discuss your concerns and learn more about your options.

Would a breast revision help me achieve a more even look and correct loss of sensation and popping feeling? (photos)

Answers (9)

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