Double crease or extra skin in cleavage area after BA. Would a wider implant fix this? (Photos)

Question

I am 6 months post op. 5’10, 148 pounds. I have 375 Natrelle High Profile. Around 3 months post op, this area of skin in my cleavage started showing up and this is what it looks like now. It goes away when I lift my arms, but it feels like a fold of skin? How can this be fixed? Would a wider implant be better for my wider chest instead of high profile? Are the implants too narrow? Should I change to a moderate profile or does this need fixed in another way? Thank you.

Daniel Barrett, MD · Answer

Dear momtofive5,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gianfranco Frojo, MD · Answer

You need a mastopexy (breast lift). There is excessive soft tissue laxity/skin excess that was not addressed.

Connie Hiers, MD, FACS · Answer

You do need to go down in height and possibly some in size with your implants. Also, your sagging breast tissue needs to be lifted.  Your side view shows this the best.

Double crease or extra skin in cleavage area after BA. Would a wider implant fix this? (Photos)

Answers (3)

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