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

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.

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.

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.

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

Yes, it is there, definitely, photos show it well. Breast tissue on that side is probably not evenly distributed over the implant. Implants may be asymmetrically positioned (one more centralized than the other). Anatomically shaped implants which have rotated may also create that appearance. Re-distributing breast tissue in a secondary operation may correct that but surgical disruption of breast gland required. Fat transfer is also a possible solution but would introduce volume asymmetry unless done bilaterally. Fixing that situation requires good physical exam to determine the cause(s).

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.

Your implants are too large for your frame and tissue and you may have a capsule causing the change in shape., plus you are bottoming out from the weight of the implants.

Based on your series of posted photos, the result is an acceptable result, but there are contour and volume deformity noted. Best of virtual consult with so this can be discussed in more detail as to options to treat this these issues. Expect surgical fees to include possible fat grafting, exchange of implants, for more symmetry, different size implants to be used, correction of nipple complex location by minimal lifting. Expect fees to arrange from $15-$20,000. Again, best of virtual consult with.