I finally had a Breast lift and Breast augmentation this Jan. I have 2 kids, 34, 5'7", 160lbs, 38C prior to surgery. I had 550cc Mentor round, moderate profile silicone implants. I feel that they are already sagging and I am unhappy with the lack of roundness on the top and lack of cleavage, and dispoportionate nipples. I don't care if they look natural I want them to look perfect in a bathing suit. What are my options?
Answer
Combined breast augmentation/lifting can be tricky, and having a more "natural" or lower than hoped-for appearance of the breast tissue is not uncommon. It is often difficult to provide or maintain enough fullness in the upper pole of the breast to please the patient that desires an "augmented" appearance. in many cases, the use of a larger implant further strains the tissue and causes sagging. The options include performing a revision mastopexy to tighten the tissues through the same incisions, and considering an implant exchange for a smaller or possibly a textured implant at the same time.
Dr. Jeffrey Ridha, MD
Board Certified Plastic Surgeon
Answer
Its early days to see the final results but it is apparent that nipple positions are different. You can benefit from revision mastopexy to improve the upper pole fullness. Please discuss with your surgeon if a mesh can help with your results and support the tissues. You will get better results buying textured or nano textured implants. I would wait for another 6-8 months befogging contemplating any further surgery.
Dr. Aftab Siddiqui, FRCS(Plast)
Board Certified Plastic Surgeon
Answer
The picture appears to have implants that are "bottoming out" after surgery. It's generally best to wait 6-12 months after surgery before a revision is performed. I would then perform a revision breast lift to help fix the deformity.
Dr. Brandon Richland, MD
Board Certified Plastic Surgeon
Answer
Hi, thank you for your inquiry. I believe you are still too early to do anything. I am in agreement with others here that you should wait at least six months before contemplating your next move (if needed). For patients where upper pole fullness is a priority, the new Allergan Inspira cohesive implants maintain upper pole fullness better than the similarly sized Mentor HP or the Allergan Inspira of similar size. A slightly larger implant and a switch to the Allergan Cohesive Implants may be of some benefits to you.
Dr. Mariam Awada, MD, FACS
Board Certified Plastic Surgeon
Answer
Hello and thank you for posting your photo. I can understand what you are saying and a revision is always an option. You should talk to your PS about your concerns and expectations. But please understand implants don't help lift the breasts, sometimes even do the oposite. Large implants may weigh down your breast. You have considerable tissue and you have large heavy implants. This is why there will always be some eventual sagging.Best of luck,Dr. Miguel Mota
Dr. Miguel Mota, MD
Board Certified Plastic Surgeon
Answer
Without good before pictures, it is hard to tell if you implants have sagged below your original fold, but that is a common problem with this type of surgery. Some surgeons feel that a textured implant maintains its position better, but that is no guarantee. There are methods to raise the fold (and implants). Such sagging is more likely to occur with a larger implant such as yours. You might want to discuss revision with your surgeon. Fixing the fold in a better position with or without some support (mesh or ADM) may be helpful.
Dr. Marc Klein, MD
Board Certified Plastic Surgeon
