Right breast implant is too far in the middle and drops - What correction is recommended? (photos)

Question

I had my breast implants replaced in December 2021 and they are very uneven. The surgeon increased the size from 375cc to 440cc because I felt like the original implants sat too low, and this was supposed to give the appearance that they were higher. He also added mesh (I’m not sure what kind, the mesh was an additional $1000). The surgeon says that because the incision is still in the crease this is just my anatomy, but they were not this lopsided before. What correction is recommended?

John Michael Thomassen, MD · Answer

At this point you have invested quite a lot on your breasts and so I would recommend the simplest correction which would be to correct the L breast excess lower pole skin that makes it look more ptotic than the R side.  This will not correct nipple position asymmetry but the shape will be similar and you should be happier with the results.

Daniel Barrett, MD · Answer

Dear Resourceful110282,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Farbod Esmailian, MD · Answer

It does appear that the right nipple and areola is naturally higher to begin with.  Now you have fold malposition with decent of the implant which causes the nipple/areola complex look even higher.

A breast revision would be necessary to set the fold and possibly to remove some of the lower pole skin.  A consult in person is really necessary for a proper assessment and plan.

Hope that helps

Connie Hiers, MD, FACS · Answer

I would suggest posting before implants view to see what your actual anatomy is. If one nipple does point out to the side more than the other naturally, this might be more difficult to correct.

Cassie Nghiem, MD · Answer

Excellent question. I do agree that one nipple is pointing upward, which means the implant may have descended. I think putting mesh in for support is a good move. However, I also see your asymmetry in size. Depending on how long it it's been since your original surgery, and how unhappy you are with the result, you can consider a second opinion.

Right breast implant is too far in the middle and drops - What correction is recommended? (photos)

Answers (8)

Answer: Implants

Answer: Implants

Answer: Implant asymmetry

Answer: Implant asymmetry

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Everything you need to know about Breast Implant Revision

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Right breast implant is too far in the middle and drops - What correction is recommended? (photos)

Answers (8)

Answer: Implants

Answer: Implants

Answer: Implant asymmetry

Answer: Implant asymmetry

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.