Will revision surgery address my low implant? (Photo)

Question

I had a breast augmentation and immediately following surgery, I could tell that my left implant sat significantly lower than the right one. My surgeon has agreed that my implant sits below my scar and has agreed to perform a revision to reattach my scar to my chest wall for 3rd party fees. He insisted that implants are never the same when I expressed my concern about how low the implant sits. Will reattaching my implant scar do anything to raise it back into position?

Kayla Humenansky, DO · Answer

I believe this appears as a "double bubble" where a small portion of your implant is sitting below your inframammary fold (natural crease at the bottom of the breast). Recreating your inframammary fold by reattaching your scar to the chest wall should achieve a similar appearance to the other breast. You may also consider talking with your surgeon about supporting the implant with sutures or mesh.

Jonathan Heistein, MD · Answer

Looks like one side has bottomed out.  You will need to have that area elevated and reinforced so that it doesn't stretch anymore.  This can be done with stitches or other materials.  Talk to your doctor about the different options, but either should be able to make a difference.  Best of luck!

Connie Hiers, MD, FACS · Answer

Your surgeon should be able to raise your lower pocket so that both are much more even and your implant is in the proper place.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure we always need to see a complete set of proper quality before and after pictures. Without knowing the degree of a symmetry, or what your breast looked like before the procedure, we can’t accurately assess the outcome of the operation. Breast asymmetry is the norm and no woman has breast that are perfectly equal. The majority of women and men, for that sake, have a left breast or infra memory fold that sits slightly higher than the right. Every once in a while, they’ll be even and very rarely will the right side sit higher than the left. on your picture this looks consistent with your right side sitting lower and your left side sitting higher. I’m not sure if you flipped the picture or if you’re describing from your perspective or looking at the picture. To start with we need to know the relationship of the infirmary folds on your before pictures. Plastic surgeons should put implants central to the nipple and the breast itself. The goal is not to place the implants symmetrically if the breast are placed asymmetrically on the chest wall. Plastic surgeons cannot move where your breast sits on the chest wall. Individuals who have breast placement a symmetry before surgery should expect to have that same asymmetry after the operation. Moving the implant to correct for baseline symmetry issues is not a good idea. The implant should be placed centrally, so it has a correct amount of tissue and volume on each side, upper and lower, left and right in relationship to the nipple, position or center of the breast. 
Your picture also does not include the upper half of the breast, so we can’t really determine if the implants are placed properly or not. Simply racing the implant because the infra memory folds are in a different location is not appropriate. To make a quality assessment, and give you useful advice. We need far better information.
If you don’t have proper before, and after pictures, then ask your surgeon to forward the pictures they took. Before you have a clear understanding, if the implant is not placed in the correct position, I would be cautious about any thought of moving forward to having revision surgery. Some women who have breast a symmetry will have this a symmetry made to look more prominent, or exemplified by having breast augmentation. This is especially true for women who have divergent breast when the projection of the implant is added, the divergence looks more intense. 
Consider reposting with better pictures or better yet schedule a few in person second opinion consultations with other providers in your community.
For second opinion consultations patient should come prepared to bring with them a complete set up before and after picture and a copy of your upper report. These are all available from your current providers office if you request them.
 I generally do not recommend virtual consultations if at all possible meet surgeons in person so you can get an examination and a quality assessment.
There are generally three variables that determine breast augmentation quality outcomes. The first is the patient’s candidacy for the procedure and this very much includes any asymmetry issues or anatomic variables that lowers or races someone’s candidacy.
The second variable is the choice of implant regarding type size and shape . The third variable is the technical ability to place the implant in the correct anatomic position.
All three of these variables are important. There isn’t much patients can do regarding their own candidacy. In the hands of the right surgeon, implant selection should be fairly straightforward. What patients do have control over is provider selection and making sure you’re in the hands of a sufficiently experienced. Surgeon is The most important variable Since it’s the one you can actually make a big decision regarding. I generally recommend patients have multiple in person consultations before choosing a provider.
Best,
Mats Hagstrom, MD

Will revision surgery address my low implant? (Photo)

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