1 year post-op: Nipples too high, implants separated. What are my revision options? (photo)

In your frontal view, you can see your implants are wider than your chest wall. Also, the right side looks bigger than the left. I cannot tell where the incision was made but if it was inframammary that would be best. The inframammary incision can be used and the implants can be removed, smaller implants can be replaced after repair of your pockets inferiorly and laterally as well as dissection of the upper pocket to allow the implants to sit higher.

Best Wishes,

Gary Horndeski, M.D.

Dear Fabulous941752,

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