Do My Breasts Post-BA Look Uneven, Deformed and Too High?

Hello Pettitegirl5,

Your re-posting yielded more responses this time.  Please review mine again:


Both of your implants are sitting too high, especially the right implant, to be considered normal. It is very difficult to make truly accurate assessments with only photographs and not conduct an actual examination, but it looks like there may be an element of capsular contracture to the right implant, and neither look like they are sitting against your natural inframammary fold, something we would expect after an augmentation.
 

Regardless of why your implants are too high, I will give you assurance that vigorous massage, vitamin E, compressive bands, or pharmaceuticals like Singulair or Accolate will not be effective. It is possible that given enough time they may drop some, but not to the extent that I think you would find pleasing.
 

Most likely you will need to have a revision surgery that will improve the position of your implants and address any other concomitant issues you may or may not be having (capsular contracture). Revision surgery is more complicated and requires extensive experience on the part of the surgeon. I would recommend that you consult highly regarded breast surgery specialists and get second opinions. These doctors are certified by the American Board of Plastic Surgery and are usually also members of the American Society for Aesthetic Plastic Surgery.
 

Best of luck.
 

Thank you for your question and for sharing your photos. At five months, it there is a chance that the implants may not settle much more.  Keep a close follow-up with your surgeon.  If they continue in their current position, you may consider releasing the lower pocket of the breast to create more internal laxity of the lower pocket of the breast.

Some patients with tighter skin find that their implants take longer to drop and fluff. It looks like this may be true fro you. Ask your surgeon about what you can do to help the process, such as massage or wearing a bandeau around the top of your breasts. If however you find that this doesn't work, you'll probably need revision surgery to adjust the pocket. It might not be positioned properly.

Your breasts appear to not have dropped and fluffed. Since you mentioned that you have firm, tight skin, you may need a little while longer for this process to complete. Sometimes it can take 6 months or longer. You can help the process with massage, however please talk to your surgeon for their advice. They can give you the exact instructions on how to perform the massage. If this doesn't help or other suggested nonsurgical treatment, you may require revision surgery to reposition the implants, placing them lower and perhaps choosing an implant that would achieve more natural looking results. Best of luck!

         It’s always
difficult making recommendations without performing a physical exam or seeing
pre-operative pictures. Despite this, your post-operative pictures clearly
suggest several problems that are probably related to the initial breast pocket
formation. It appears that your breast implants are medially displaced and too
high and as a result, the nipple areola complexes are malpositioned.

         This problem will
not correct without surgical intervention and will most likely require a pocket
revision. When transaxillary breast augmentation is performed, it can be
difficult to separate the muscles along the inferior border of the breast
pocket. This under dissection can create the type of problem that you are
experiencing.

         Correction involves
expansion of the pocket laterally and inferiorly. This is most easily
accomplished through an inframmary approach.

         It’s important that
you discuss these issues with your plastic surgeon. In some cases, a second
opinion may be appropriate. 

Your breast implants appear to high and should have dropped into place by 5 months.  I would see your plastic surgeon to reevaluate for revision surgery to place the implants in a more anatomical position and improve your appearance.