Breast implant revision still wrong? (Photo)

Question

450 cc dual plane motiva 50ys 137lbs 5'3", Had breast implants put in February 2023. Just before the 1 year mark i went in for revision on the right side because it didnt drop. I feel like it has fallen too far now. My surgeon said that breasts are rarely twins and things look good. I am happy with the left side. Im not expecting perky breasts. Am I wrong thinking the right implant is wrong again?

Daniel Barrett, MD · Answer

Dear Imaginative996589,
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

Gerald Minniti, MD, FACS · Answer

Although you may be satisfied with your left breast implant, and hence the shape of your left breast, I can tell you that it has soft tissue laxity and waterfall deformity. What I can't tell you is whether the implant is also mildly contracted as well. As for your right breast, you are correct, the implant has dropped out into the soft tissue envelope, which also happens to be the larger and saggier side. What happened to you is common, both patient and doctor focused on the contracted breast and not really analyzing the other because it appears normal. If you opt to only fix the dropout and not the soft tissue envelopes of both breasts, you will not be happy. Even with the implant in the correct position, you will have even more of what the left has, sagging tissue, which won't look like the left breast. My recommendation is to fix the right implant and get a breast lift on both sides. This is the only way they will look similar.

Connie Hiers, MD, FACS · Answer

Your first (left) photo mainly shows a little more sagging on the right side compared to the left. However, this is also seen in your original (right) photo. The middle photo does show that you are still sagging and that one implant is sitting higher.  If you are now like the first photo, then you might like a lift. Your implants are fine.

Darryl J. Blinski, MD · Answer

Based on your post of photos, you had a symmetric breast to begin with as far as size and the hanging effect or ptosis . Best to do virtual concert with, but should be expecting to need a full revision of with new implants and breast lift more symmetry. Fees can range from $8000-$15,000. Best to do virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

You needed a breast lift from the beginning if you were going to have implants.
The implants typically sit under the pectoralis muscle meaning that almost all of the implant is above the IMF.
If you don’t want a breast lift then maybe implants wasn’t the best idea.
Without having a breast lift, your outcome is now exactly as it should be.
Consider adding a lift.
Personally, I generally tried to keep as much of the pectoralis muscle intact covering the implant.
Doing so put the implant at risk for sitting high, but also protects the implant from future bottom out.
Your revised implant now matches your ptotic breast. 
Consider having breast lift surgery.
Best,
Mats Hagstrom MD

Breast implant revision still wrong? (Photo)

Answers (5)

Answer: Two breast implant surgeries with asymmetric results.

Answer: Two breast implant surgeries with asymmetric results.

Answer: Breast augmentation assessment

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Breast implant revision still wrong? (Photo)

Answers (5)

Answer: Two breast implant surgeries with asymmetric results.

Answer: Two breast implant surgeries with asymmetric results.

Answer: Breast augmentation assessment

Answer: Breast augmentation assessment

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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.