Do I need a breast implant revision? (Photo)

Your photos suggest that the implant has migrated beyond the edge of the natural breast creating a "double bubble." If this is aesthetically troublesome to you, it can be improved by repositioning the implant. Schedule an appointment with you surgeon to discuss your options.

The left breast looks relatively fine, but the right has an inferomedial malposition of the implant. As a result, there are also findings of double bubble deformity.It is necessary to reduce the right shoulder strap of the bra and raise the right implant so that it can go up even slightly. Since it's already been 6 months, it may not go up well, but at least it should not go down any further.If 1 year after surgery is similar or worse than the current situation, revision surgery, which closes the implant space and raises the position of the implant, should be considered.Sensation will recover a little more until 1-2 years after surgery, but there is a possibility that it will not completely recover, and now all you can do is waiting.

It seems that the breast has bottomed out. This would require downsizing, reinforcing the breast fold with Galaflex, and tightening the implant pocket.

Dear Kshea33,
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

Your implants are too big for your body and the implants are wider than your chest wall. You also have a double bubble developing on one breast. I recommend smaller implants with internal plication.

Best Wishes,

Gary Horndeski, M.D.

Hi KShea33,
Your result overall is nice but you have an issue called "Double Bubble". It can be caused by a number of things. 1. Oversize implants 2. The lower breast fold was lowered insufficiently or the breast implant has dropped below your fold, 3. Technique
See your surgeon for recommendations for correcting the issue.

thank you for your question and posting appropriate pictures. You seem to have a double bubble deformity, which can be corrected by pocket/muscle adjustment. Please discuss this with your surgeon or set up a virtual consultation to discuss options.

You appear to have some bottoming out of the one side. I would suggest going back to your surgeon and discussing your concerns.

Kshea,
I'd love to see your pre-op photos before i give you my opinion.
It appears that the right breast (left in the photo) has a 'double bubble'...crease. It also may be a little lower appearing in one of the photos as well. The nipple/areola points more lateral, but I'm sure this is a factor of your anatomy, not the surgery.
Dr. Taranow

Based on the posted photos you have right implant medial animation/double bubble deformity with inferior bottoming out. Only revision surgery with a matrix sheet can correct plus micron macro fat grafts to double bubble .
Fee $10,000
Best to virtual consult with ….