Did not get the look I wanted - what do I do now? (Photo)

Question

I have already had two Brest augmentations I wanted the look of fake breast, perfectly round, perky, the “stuck on look” I showed these photos to my surgeon. He put 580ccs over the muscle high profile. I asked about a lift and was told I did not need one. To me they look like they are saggy and natural large breast’s not at all like my inspiration photos. My second procedure was to correct the breast pockets because the implants were going into my armpit.

Daniel Barrett, MD · Answer

Dear jordbal,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. I have been in practice over 28 years. Your implants are on top of the muscle, and you have a typical "slide down" appearance. The best fix would be to place the implants back under the muscle and revise the mastopexy/lift as well is removing inferior pole breast tissue, so I can use a larger ultra high-profile implant.  This a surgery which I pioneered termed reductive augmentation which creates a much more high and round appearing breast.. You should be able to have an excellent outcome. Best wishes to you.

Gary M. Horndeski, MD · Answer

You have large implants and large skin envelopes.  Your breasts are hanging down inferiorly.  To get the appearance you desire, I recommend taking out the implants and doing The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

If the first photo is you, you cannot have high perky breasts because your breasts naturally sit somewhat low on your chest and the bases cannot be moved. However, you can have a lift and raise the breast and nipples up some. This size is too large for you and will probably sag again if a lift is done.  I would suggest going smaller or be content with what you have.

Tyler Frew, MD · Answer

Hi there,
Sorry to hear your not happy with your augmentation results. From the photo you provided it look like you could have benefit from a lift. I would also consider a change of plane, meaning putting the implants under your muscle with lower pole support (mesh). If you want a truly fake look, I would also consider increasing your profile to Ultra high and the most cohesive gummy bear.
You will unfortunately need another surgery, but go to multiple consults with surgeons and be very clear with what you are unhappy with.
All the best

Did not get the look I wanted - what do I do now? (Photo)

Answers (6)

Answer: Surgery

Answer: Surgery

Answer: Likely need a lift

Answer: Likely need a lift

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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.

Did not get the look I wanted - what do I do now? (Photo)

Answers (6)

Answer: Surgery

Answer: Surgery

Answer: Likely need a lift

Answer: Likely need a lift

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.