Weight 64kg height 5”3 Now just over 6 months post op 425 round silicone implants under the muscle With areola lift still have no lower breast pole… one seems an odd shape my scars are under crease not on in the crease …. If I lie on side I see what must have been my old boob hanging off implants … I know the scars on areola aren’t great either due to scaring from structures spitting. I just can’t work out what is happening with them or if it’s a bit of waterfall bit high rising bit
Answer: No lower pole fullness after a lift I have to preface the answer by saying I would need to see you and examine you but I will give my best answer based on your photos.
Helpful 1 person found this helpful
Answer: No lower pole fullness after a lift I have to preface the answer by saying I would need to see you and examine you but I will give my best answer based on your photos.
Helpful 1 person found this helpful
February 10, 2024
Answer: 425cc, round silicone, 5'3, 6 months post-op - what has gone wrong here? Hi. You have had an areolar or donut breast lift. Unfortunately, this procedure produces very little actual lift and often results in stretched areolas and ugly scars. It should be called the 'DO NOT' breast lift. I nearly always do a vertical, or lollipop breast lift. This lift narrows and projects the breasts and does not distort the areola. Your breast lift was inadequate, and has led to the so-called waterfall deformity you have accurately observed. You will almost certainly need to have your breast lift redone. Your inframammary scar(s) are below the current crease. This has occurred either because they were placed below the crease by your surgeon, or because the crease has moved up due to capsular contracture around the implant. I recommend you be thoroughly assessed by a plastic surgeon with a large experience in aesthetic breast surgery. All the best.
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February 10, 2024
Answer: 425cc, round silicone, 5'3, 6 months post-op - what has gone wrong here? Hi. You have had an areolar or donut breast lift. Unfortunately, this procedure produces very little actual lift and often results in stretched areolas and ugly scars. It should be called the 'DO NOT' breast lift. I nearly always do a vertical, or lollipop breast lift. This lift narrows and projects the breasts and does not distort the areola. Your breast lift was inadequate, and has led to the so-called waterfall deformity you have accurately observed. You will almost certainly need to have your breast lift redone. Your inframammary scar(s) are below the current crease. This has occurred either because they were placed below the crease by your surgeon, or because the crease has moved up due to capsular contracture around the implant. I recommend you be thoroughly assessed by a plastic surgeon with a large experience in aesthetic breast surgery. All the best.
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Answer: 425cc, round silicone, 5'3, 6 months post-op - what has gone wrong here? Great question. Without examining you it is difficult to be certain but based on the photos it looks like a few issues going on here. There is a significant implant issue which would be better diagnosed in person, however it appears as though your surgeon chose implants that were too wide for your frame and under dissected the pocket, which is why they are shaped more like vertical ovals rather than circles. They also seek to be too high, which is either a superior malposition or your surgeon put them completely under the muscle rather than doing a proper dual plane augmentation. The reason you see your breast tissue hanging off the implant laterally (a.k.a waterfall deformity) is because you needed a stronger lift technique. A periareolar lift was never going to elevate the areolae enough nor reshape the breast enough. A vertical lift or anchor lift were really what was needed. Sorry for the situation you’re in but if you see an expert in breast implant revision in your area these are all things that can be fixed.
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Answer: 425cc, round silicone, 5'3, 6 months post-op - what has gone wrong here? Great question. Without examining you it is difficult to be certain but based on the photos it looks like a few issues going on here. There is a significant implant issue which would be better diagnosed in person, however it appears as though your surgeon chose implants that were too wide for your frame and under dissected the pocket, which is why they are shaped more like vertical ovals rather than circles. They also seek to be too high, which is either a superior malposition or your surgeon put them completely under the muscle rather than doing a proper dual plane augmentation. The reason you see your breast tissue hanging off the implant laterally (a.k.a waterfall deformity) is because you needed a stronger lift technique. A periareolar lift was never going to elevate the areolae enough nor reshape the breast enough. A vertical lift or anchor lift were really what was needed. Sorry for the situation you’re in but if you see an expert in breast implant revision in your area these are all things that can be fixed.
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January 14, 2025
Answer: Type of lift Hi. You questions of what has gone wrong is a good question. I think maybe the communication process between you and your surgeon has broken down..... WHen we as surgeons see patients- they often just want implants and fight the idea of a lift tooth and nail. Patients also come in with the misguided belief that because there are really three types of lifts- that any of these type can be done with good results on any patient. I explain to my patient that the type of lift you need is not determines by me- but by where you have excess tissue and misshaped breasts. A lift just around the areola is really only to change the absolute position of the nipple itself i usually reserve this type of surgery for a patient with a great breast shape- little lower pole excess and a simple need to even the areola shape or postion out . In your case i would say likely your preop eval has excessive horizontal skin and an anchor type lift would have been best for you. on a static photo the implats apprear to be appropriately positoned on your chest and likely the best approach at this time would be to see if your doctor could go back and do a real breast lift to get your tissue (that you dx yourself as hanging off the side when you lay down) back up and in front of the implants..... Godspeed....
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January 14, 2025
Answer: Type of lift Hi. You questions of what has gone wrong is a good question. I think maybe the communication process between you and your surgeon has broken down..... WHen we as surgeons see patients- they often just want implants and fight the idea of a lift tooth and nail. Patients also come in with the misguided belief that because there are really three types of lifts- that any of these type can be done with good results on any patient. I explain to my patient that the type of lift you need is not determines by me- but by where you have excess tissue and misshaped breasts. A lift just around the areola is really only to change the absolute position of the nipple itself i usually reserve this type of surgery for a patient with a great breast shape- little lower pole excess and a simple need to even the areola shape or postion out . In your case i would say likely your preop eval has excessive horizontal skin and an anchor type lift would have been best for you. on a static photo the implats apprear to be appropriately positoned on your chest and likely the best approach at this time would be to see if your doctor could go back and do a real breast lift to get your tissue (that you dx yourself as hanging off the side when you lay down) back up and in front of the implants..... Godspeed....
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November 22, 2024
Answer: Breast lift Thanks for your questions! It would be helpful to see before photos and see a starting point. That implant may be encapsulated or never settled into the pocket. Also, I think you need a vertical mastopexy, not just an areola lift. Good luck!
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November 22, 2024
Answer: Breast lift Thanks for your questions! It would be helpful to see before photos and see a starting point. That implant may be encapsulated or never settled into the pocket. Also, I think you need a vertical mastopexy, not just an areola lift. Good luck!
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November 13, 2024
Answer: Breast shape challenges Thanks for your question. Based on your photos, I believe there are several issues contributing to your current challenges. Fist of all, your implants are sitting a bit high. In addition, you have a relaxed breast that was inadequtely treated by your areolar "lift". As a result, you have breast tissue hanging off the implant -- what you appropriately call a waterfall deformity. The correction is straightforward but will require lowering the implant and performing a real mastopexy, with a vertical scar at a minimum. The mastopexy will reduce your areolar diameter, improve the bad scars, actually move the nipple up, and can be helpful to debulk the lower pole of the breast. You can get a very pretty breast, but not without some additional effort. Hope this helps.
Helpful
November 13, 2024
Answer: Breast shape challenges Thanks for your question. Based on your photos, I believe there are several issues contributing to your current challenges. Fist of all, your implants are sitting a bit high. In addition, you have a relaxed breast that was inadequtely treated by your areolar "lift". As a result, you have breast tissue hanging off the implant -- what you appropriately call a waterfall deformity. The correction is straightforward but will require lowering the implant and performing a real mastopexy, with a vertical scar at a minimum. The mastopexy will reduce your areolar diameter, improve the bad scars, actually move the nipple up, and can be helpful to debulk the lower pole of the breast. You can get a very pretty breast, but not without some additional effort. Hope this helps.
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