Feel like I have a flat breast. Can anything be done to fix it? (photo)

Question

40 year old female got 295cc round silicone implants. I’ve been really unhappy with one of my implants and I’m wondering if anything can be done to fix it. Surgeon says they look fine and symmetrical. I really don’t see it and don’t even like looking in the mirror anymore. I think one looks oddly shaped and flat on one side and my nipple is nowhere near the middle. Please advise. Thank you

Gary M. Horndeski, MD · Answer

Your breasts are too wide for your chest wall, are almost touching in the midline and lateral extending toward the armpit area. Your nipples are also at different heights. You may be better off removing the implants and doing a lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gianfranco Frojo, MD · Answer

It appears that the implants may be too large for your breasts. There has been a major stretch on the lower pole of both breasts; this can be noted by the long nipple-to-fold distance. Your likely best option is to downsize implants and perform a lift. This is a complex challenging case due to the periareolar scarring around a widened flattened areola, potential capsular contracture, over-released pectoralis muscle, thin tissues/skin and minimal fat. You truly need to see a breast revision expert certified by the American Board of Plastic Surgery.

Camille Cash, MD · Answer

Though better photos or an exam would be helpful it appears a revision is needed to correct your concerns.  The bottom pole of your breast is too long.  A lift is needed in order to position the nipples correctly and improve the overall shape.  Visit with a board certified plastic surgeon near you to learn more.

Daniel Barrett, MD · Answer

Dear lainey189,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Harry T. Haramis, MD, FACS · Answer

All breasts are different left to right before and after any surgery.  There may have been some differences in shape, nipple position pre op.

The implant pockets may have changed shape and position after surgery. As such, a revision may be indicated for better symmetry. Remember, they will never be 100% identical.

Further discussion with your/a plastic surgeon is recommended.

Feel like I have a flat breast. Can anything be done to fix it? (photo)

Answers (8)