Revision Breast Augmentation
Hello,You had capsular contracture, and the treatment should involve a total capsulectomy and placement of a new implant, preferably performed through an inframammary incision to minimize recurrence. Aside from the periareolar access, it cannot be determined what was or wasn't performed. Revision breast augmentation is complex and more difficult than primary breast augmentation, and best performed by ABPS certified/ASAPS member surgeons that specialize in revision breast surgery. Based on your photographs, it would be unlikely that you achieve symmetry in any time in the future, regardless of implant massage, which has not been shown to have any effect on implant position or scar quality. Best of luck!
Breast implant revision - will it improve
Thank you for asking about your breast implant revision.
I am sorry you have this problem -
Chances are the implant will settle in place -
Give it another three months.
AND ask your surgeon if you can go braless - gravity usually helps get the implant to settle.
Always see a Board
Certified Plastic Surgeon.
Best wishes - Elizabeth
Morgan MD PHD FACS
Please wait for now
You are at early stages of healing and the final result will be different. The other issue is that your left breast is bottoming out and makes the right breast look too high. Please wait for now and reevaluate after 3 months.
Will my right breast still drop?
Thank you for your question. Based on your photos, the right breast does appear lower compared to your preop photo. Although it may not be at the same exact level as the left breast at this time, please allow at least 3 months for healing and the implant to settle down into its final position. At that point, you'll have a better idea about your surgical result. Good luck.
Will my right breast still drop after revision breast surgery?
Although I understand your concerns, given your past experience, it is too early to evaluate the outcome of the revisionary surgery. There is certainly more time for the breast implant to "settle". Care must be taken during this type of revisionary breast surgery to avoid over dissection and "bottoming out" of the breast implant that was sitting higher on your chest wall. My best advice: continued patience and continued follow-up with your plastic surgeon for instructions (such as the use of massage and/or pressure garments). Best wishes outcome that you will be pleased with longer-term.
Left side appears bottomed out
From your photographs, it does appear to me, that the right breast implant was too high having never dropped into the bottom of the pocket. The left implant, however appears to be bottomed out as it has migrated to low. While it may take several weeks to a month or so for the right implant that has been released to stabilize in its new position, it's my opinion, that the left crease needs to be raised in order to match the right. It is prudent to separate these into two operations such that the left one can be moved up to match were the right one will end up after a few months. Good luck.
Lowering an implant
There is a substantial difference in your photos in the before and after revision series. The implant certainly appears to be lower than it was, but still higher than the other side. Its still too early to know if the revised breast will stretch the lower pole and match the other side or if it will still be higher. One factor to consider is the shape of your breasts before implants. If the right side was higher before any surgery it may be a bit higher even after this procedure. Regardless, it will take about 3 months to see the lower pole shape and the implant positon of the revised breast implant.
Still Asymmetrical After Breast Implant Revision
Breast #revision surgery is more difficult, complicated, and requires more time than primary surgery. Capsular contracture may recur regardless of surgeries being performed at this time and may require additional surgeries. There is as much as a 40% chance!!! that additional surgery will be needed following this operation. Also, any asymmetries regarding the folds under your breasts will not be totally corrected.
Being it's only 3 weeks after your revision, it's best to wait and see if it will improve. After all, #asymmetry following any breast procedure is not at all uncommon. Each #breast heals at a different pace than one another. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete #healing, they should be more similar and natural.
#Healing will continue for 2-3 months. But, it can be up to one year see your final result. Your doctor may also require you to move or massage the implants within the breast pockets during the #postoperative period. (#Textured implants do not require breast massage.) Meantime, you must have patience. However, if there are any causes of concern, ask questions of your surgeon or their nursing staff.
Your revision helped
but I would save 'awesome job' for only if you end up being near level on your upper poles. In my practice, if you had smooth round implants, my patient would be told to put a leisure or sport bra on and to pull the band over the top of the higher side to help it settle more to your liking. Ask your surgeon for advice on helping you achieve your goal! Yours is a tricky situation as it the right side sometimes can end up being lower than the left side... hope that doesn't happen.