Breast Implant Revision

Dec 09 I had a breast augmentation - 325cc, silicone round implants placed through the armpit, under the muscle. - No trouble till Dec 10 - nipple on left breast started to point downwards and implant sat much higher, no pain or hardness. - Implant revised in April 11. No signs of contracture. Implant just needed to be placed lower. Very happy with position and nipple alignment, however I seem to have lost the fulness in this breast. I am just wondering how long or if this fulness will return

Doctor Answers 8

Breast Implant Revision?

Thank you for the question.

Unfortunately,  it is not possible to give you good advice without direct examination or without viewing pictures. However, you may have  “lost fullness” of the breast because it is sitting lower on the chest wall after revisionary surgery.

In any case, it would be in your best interest to follow-up with your plastic surgeon to discuss questions and concerns.

Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,460 reviews

Breast implant revision

If the same implant was used but just repositioned lower, then you did not lose volume, you just don't have as much upper pole fullness as when the implant was too high.  That fullness will not return on its own (that is, unless you get a capsular contracture and the implant gets squeezed upward again).  You would need an implant replacement to get a larger implant with more fullness in the upper pole.

Robert M. Grenley, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 86 reviews

Breast Implant Revision

From your excellent description but no posted photos I guess the lowering of the inferior pocket caused you to lose the upper pole fill. No, it will not correct itself. Seek discussions with your chosen surgeon concerning this issue. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 170 reviews

Nipple pointing down following breast augmentation

It sounds like you may have a capsular contracture that is causing deformity of your breast.  A small percentage of patients develop that condition months or years following surgery.  In these cases, the internal scar tissue surrounding the implant will start to squeeze the implant.  This pushes the implant upward, causing more fullness, and results in the nipple pointing downward.  Capsular contracture is treated with a surgical procedure called a capsulotomy or capsulectomy, depending on your situation.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 46 reviews

Breast implant revision

As has been said, there would not likely be an expectation of the fullness returning after lowering an implant.  You might need another implant to regain fullness.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

The implant size has not changed but shifted to lower part of the breast

The size of the implant on the left side has not changed with pocket revision. The volume shifted and that makes your breast look smaller. The only choice would be going with bigger implants.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 118 reviews

Fullness Not Going to Return

Since the implant was lowered on your chest, the volume has also been placed lower. The only way to have better nipple position and alignment, and upper pole fullness would be to go with larger implants. You are too early for that exchange. You will need to re-evaluate at about 6 months post-op.

Good Luck!

Brian Klink, MD
Vacaville Plastic Surgeon
5.0 out of 5 stars 94 reviews

Breast Implant Revision Surgery

Dear Sarah_louise in Australia:

Breast implant revision surgery to lower an implant that is too high tends to settle quickly. If you are two months out, it is not likely to change much, and is not likely to become more full. Implants do tend to look larger when they are too high.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.