Breast Aug complication. No natural plan between major and minor pectoral muscle? (Phtoo)

Question

had decently symmetrical, small round Ish boobs after breast-feeding multiple children. 205cc implant smooth round low profile. post op I was informed there was a problem with my anatomy. My muscles were "fused together". said he had to over cut/dissect trying to find a place for pocket. just not a natural separation between pectoral major &minor muscle. No massages for extra sutures he had to place. Wait/watch. Is my natural breast tissue gone? Hexagon shape forever? Will they be symmetrical

Ellen Ozolins, MD · Answer

Thank you for your question. In some individuals, the pectoralis major and minor muscles may have less distinct separation, which can complicate the creation of an implant pocket during submuscular breast augmentation. The unusual breast shape you are observing might be due to the excessive dissection required to form the implant pocket. This can affect the positioning of the implant and the overall contour of the breasts. Moreover, placing breast implants in sagged breasts without performing a breast lift can also contribute to the issue. The fact that your nipples are positioned lower after surgery suggests this might be the case. It's advisable to follow your surgeon's recommendations and to wait and monitor the healing process. Over time, the tissues can change and settle, potentially improving the shape and symmetry of the breasts.

Arif Eroglu, MD · Answer

HelloAlthough the breast tissue is thin and somewhat unclear, if there is a desire to go under the muscle, it is possible to easily enter beneath the pectoral muscle and create a space of the desired size and roundness. If there are bands affecting the roundness in the created space, they can be identified and released during the surgery. However, I believe the issue is not only with the position and shape of the created space, but also with placing breast implants in breasts that have sagging, without performing a breast lift. The fact that your nipples are still positioned lower after the surgery indicates this.

Wayne I. Yamahata, MD · Answer

It is not uncommon to have some degree of fusion between the pectoralis major and minor muscles. This underlying condition should not affect the outcome and should not cause significant damage to your breast tissue. Regarding "watch/wait," you didn't mention how long postoperative you are. Assuming you are not past six months, the treatment is expectant observation.

Daniel Barrett, MD · Answer

Dear randomstuff088,4 
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

Zoran Potparic, MD · Answer

There is always solution to correct current problem; placement into new pocket would solve the problem. In person consultation with another board certified plastic surgeon, a second opinion, is recommended. Good luck.

Connie Hiers, MD, FACS · Answer

The pectoralis muscles do not cover the lower lateral part of your breasts, so that dissection is not part of the problem. With time, you may yet improve. External ultrasound treatments could help round out the lower part. Go back to your surgeon and dicsuss your concerns.

Darryl J. Blinski, MD · Answer

Posted photos demonstrate a possible capsule contracture in placement of implants. Only revision surgery can ascertain whether you can attain the desired results. Best of virtual consult would expect fees to range from $8000-$15,000.

Breast Aug complication. No natural plan between major and minor pectoral muscle? (Phtoo)

Answers (7)

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