Dent in cleavage 1 year after breast lift and augmentation - any thoughts about what is going on? (Photo)

Question

Breast lift and augmentation, 1 year post op. I have a sharp angle/indentation in my right breast. Thoughts about what is going on?

Wayne I. Yamahata, MD · Answer

A definitive diagnosis would require a physical examination, but your photos suggest that the most superior aspects of your pockets are opened higher on one side. Your implants seem to be large and pressing against the border of the pockets. The pressure from lesser space on one side is causing an indentation or flattening. If this truly bothers you, it should be correctable by expanding the pocket in the flattened area.

Semih Yildiz, MD, FEPOBRAS · Answer

At 1 year after a breast lift and augmentation, a sharp indentation in the cleavage area is usually worth an in-person evaluation because it may reflect the implant edge or fold, thin soft-tissue coverage, scar tethering from the lift, capsular tightness, or the way the pocket was created along the inner breast. In the photos, there appears to be a visible angular contour change along the inner/right cleavage side, but photos cannot show whether this is skin, scar, implant position, or capsule-related.

The next step is an exam by your operating surgeon or another board-certified plastic surgeon who can check the implant pocket, capsule, animation with muscle movement, and tissue thickness. If it is stable and not painful, it is usually not an emergency, but if it is new, worsening, painful, or associated with swelling, redness, drainage, or breast firmness, you should be seen promptly. Treatment depends on the cause and may range from observation or fat grafting for thin coverage to pocket/capsule revision or implant adjustment if the implant position or capsule is the main issue.

Ronald J. Edelson, MD · Answer

That just an area where the muscle is tight. It can be fixed but would probably require general anesthesia with the costs that entail. Only you could decide if it’s worth doing.

Daniel Barrett, MD · Answer

Dear Kimmythul93,
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

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and pictures.  Without an exam it is hard to advise completely but a couple of possible thoughts.  If the implants are under the muscle, that may be your muscle edge on the right side causing the dent when you flex or if it is over the muscle it may be the shape of pocket.  Finally, without seeing the whole breast, it is hard to know if any encapsulation.  Please see your surgeon to discuss.

James Knoetgen, III, MD · Answer

A dent in the cleavage area after breast lift and augmentation could potentially be due to various factors, such as implant position, tissue changes, or scarring. It’s essential to consult with a board-certified plastic surgeon who can assess your specific situation, perform an examination, and provide guidance on any necessary treatment options. They will be able to give you the most accurate information and recommendations based on your individual case.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

Justin K. Williams, MD · Answer

A formal examination and knowledge about exactly her procedure would be best to diagnose this but it is common that capsular contracture can cause irregularities like this. Other options are that you are brought is deforming the implant in a slightly different way on one side than another. I would return to her plastic surgeon and have them formally evaluate it.

Connie Hiers, MD, FACS · Answer

Your implant has pushed up somewhat through your capsule. Wearing push up bras could be the reason. Push up bras should not be worn with implants because of the risk of changing the shape and thinning lower breast tissue.

Douglas Taranow, DO, FACOS · Answer

Kimmy,
Full naked frontal photos of the breasts (as well as a physical exam) would aid in correctly answering what is going on.  Based solely on your photos, it could be the right medial pectoralis muscle (if submuscular) or it could be insufficient pocket dissection (if subglandular).  Either way, it is usually an easy revision without a long recovery period (back to work the next day, back in the gym in 2-3 weeks.
Best wishes.
Dr. Taranow

Darryl J. Blinski, MD · Answer

Appears as a scar/capsule in the superior medial breast. Only revision surgery either just lipo with fat grafting to sarea (fee $5,000) or Reopen, removal, release the capsule, replace implant (fee $5000) or both (fee $8,000). Best to virtual with...

Dent in cleavage 1 year after breast lift and augmentation - any thoughts about what is going on? (Photo)

Answers (11)

More Breast Lift with Implants Questions

7 months post breast lift w/ implants. Can my scar be moved so that it sits in the crease? Am I bottoming out?

Do I need a Breast lift? Would I achieve even results from implants alone? (photos)

22, 170lbs, 5’3”, DD cup - would I be a good candidate for a breast lift with implants? (Photos)

Will the donut (Benelli, periareolar) lift with a very small implant be enough for me? (Photos)

Is it safe to take Vitamin C/Flora vital up to surgery?

Age 22, 5ft5, 130lbs, large sagging breasts - am I a candidate or breast lift with implants? (Photos)

WE SEND PRETTY
EMAILS