350cc, high profile, am I bottoming out & will I need a revision surgery? (Photos)

Question

I had 350cc round high profile implants under the muscle 7 weeks ago. My right breasts seems to be hanging lower than my left and I am getting worried. Will I need a revision surgery ?

Gary M. Horndeski, MD · Answer

Your breasts appear asymmetrical in volume, shape and position. You will need the larger breast reduced to a smaller size as well as plication inferiorly to create a new fold. Another alternative would be a larger implant on the smaller side and lowering that fold to match the opposite side. However, once folds are lowered they can progressively descend and bottom out even more. You would be better off with smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Practical159900,
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

Jonathan Heistein, MD · Answer

Hi. At 7 weeks postop, it is still very typical to have one slightly different and higher than the other. This usually evens out in the next several weeks or months. With any questions or concerns in this period of time, it is always best to address them to your surgeon, since he/she was there and has much better idea of what to expect than any picture could show.

Connie Hiers, MD, FACS · Answer

Measurements are needed to be certain, but the higher implant could be lowered, or the lower implant could be raised.

Mark A. Schusterman, MD, FACS · Answer

Thank you for your question.  The right side does look a bit lower than the left.  This situation could be due to many factors, but the main thing is that you are only 7 weeks out from surgery and this is not enough time to gauge the result.  It is also difficult to assess the result without seeing the preoperative photos.  I recommend that you give it a more time  and discuss with your plastic surgeon.  Good luck.  Hope this  helps.

Darryl J. Blinski, MD · Answer

Thanks fir the series of posted postop photos, would have been better to include before photos so we could compare. Appears you were asymmetrical pre op? the smaller breast needed larger implant by at least 100cc's. Also the smaller side was most likely higher riding on the chest wall, so lowering the infra mammary crease could have improved symmetry. So yes you need revision. Did you use a CLINIC obver a private practice? Best to virtual with....Fees in the $8,000 ranges.

Douglas Taranow, DO, FACOS · Answer

You are still in the early stages of healing.  It is not unusual for one breast to settle at different rates. 
I feel that you should be massaging the top of the left (higher one) to help it fall lower into its pocket. 
You may try using an ace bandage placed above the nipples, but first discuss it with your plastic surgeon.

James McMahan, MD (retired) · Answer

Thank you for your inquiry and photographs. You appear to have a very nice result from your surgery but, as you say, the right implant is a little lower than the left.  It is not significant enough to recommend a surgical revision and you may be able to improve the appearance with differential wrapping of your breasts.  Use as Ace bandage and firmly wrap it around your chest covering the lower portion of the right breast and the upper aspect of the breast.  It should be firm enough to cause some feeling of pressure but not to the point that it is painful.  This can cause some slight movement of the implants to improve your symmetry.  Wear the wrap for as long as it takes to see a change that you are happy with.

David E. Berman, MD (retired) · Answer

it is very normal to be anxious as you heal and recover from your BA. However, everyone gets upper pole swelling and it is frequent different between the 2 sides. they will swell differently and feel different. it is important you wait at least 3-4 months before you give any thought to doing a revision. It is human nature to constantly assess them but it is important to force yourself not to do that and to be patient. also there will always be small differences from side to side.

so far you are getting an excellent result.
hang in there.

david berman md, frcsc

so far you are getting an excellent result.
hang in there.

david berman md, frcsc

350cc, high profile, am I bottoming out & will I need a revision surgery? (Photos)

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