I’m looking to have a revision in a few months and would like some advice on what would be the best plan of action? (Photos)

Question

I’m a 40 year old female, lean, very fit with little breast tissue. I originally had 615cc Soft Touch extra full profile and a few weeks ago had it exchanged to 650cc Cohesive full profile with a little fat graft. The goal was to minimize the rippling and I wanted my implants to sit a little higher and look more round. I ended up with very asymmetric breasts, right breast looks like it’s bottoming out, also I have more rippling on the right breast now than I did before. For some reason my plastic surgeon tightened the capsule on my left breast but not the right one. I’m looking to have a revision in a few months and would really like some advice on what would be the best plan of action to fix my breasts. I would like to keep the same implants as I am happy with the size. First photo is before the exchange and second is after.

Gary M. Horndeski, MD · Answer

In your frontal view, you can see your breasts are asymmetrical, the right breast is descending and your breasts are wider than your chest wall.  Your implants are too heavy for your body to maintain long term.  I recommend much smaller implants to have a better long term and stable result.

Best Wishes,

Gary Horndeski, M.D.

Mark Eberbach, MD · Answer

Your photos help.

Stop!

Don’t risk a fine result aiming for perfection.

You risk it all!

Good luck

Mats Hagstrom, MD (license on probation) · Answer

It looks like your left breast was sitting a little lower in the before pictures.
Most people have the left breast sitting higher on the chest wall than the right side.
Most likely that was the case for you as well if you look at your initial before pictures.
 Because the left breast technically sits higher on the chest wall, the implant usually sits a little higher on the left.
I believe your surgeon tightened the internal pocket or capsule to lift the left breast.
Often you have to do this a little more initially because the implant will drop with time.
 I think it’s too early for you to judge the outcome.
Your implants are on the large side.
If almost all of your breast volume is implant, then you may end up with issues related to having very little natural tissue covering the implant.
This includes ripping and other issues.
Using excessively large implants will generally always increase the chance of undesirable side effects, complications and need for revision surgery.
The bigger the implants, the more likely these problems are.
I suggest allowing yourself to heal for six months before assessing the outcome.
Correcting bottom doubt implants is not easier straightforward.
It looks to me like your surgeon did a pretty good job( it takes time to see the final outcome) 
Best,
Mats Hagstrom MD

I’m looking to have a revision in a few months and would like some advice on what would be the best plan of action? (Photos)

Answers (3)

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

I’m looking to have a revision in a few months and would like some advice on what would be the best plan of action? (Photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.