It's been 8-9 months since my BA. From the first day of surgery my left breast was always bigger and lower. Can you please tell me how my doctor can fix my breasts unevenness? If he fixes the left breast by stitching it up to raise it, will that last? Will it reoccur again? I have been very unhappy and now worried that fixing the left one is no guarentee. So should I have him fix the left one or the right one to make then even? Which way is the right way to fix my problem? Please advise.
How to Fix Slight Bottoming out Due to Over-dissection?
Botox Price Calculator
What would you like to change?
Enter your info to request custom estimates from three local providers.
These providers will send a more accurate price based on your needs.
Doctor Answers 12
This is a very straight forward fix for plastic surgeons who specialize in revisionary breast surgery. It would require an inferior capsulorrhapy (suturing the pocket) and a mirror image superior capsulotomy. I have written two papers on this topic. The surgery takes about 45 minutes and the recovery is minimal.
Breast Asymmetry after Breast Augmentation
It is almost never possible to have complete and absolute symmetry after breast surgery, especially if you have asymmetry prior to surgery. Having said that, you can always have your breast infra-mammary fold raised with a revision breast augmentation surgery such as capsuloraphy. You need to know that this revision will not guarantee to completely correct this asymmetry since scarring during the healing period can affect surgical outcome.
Repair of the bottomed out breast implant
You photo shows very clearly the low breast implant on the left side, with the point of projection below the nipple, the left nipple appears higher than the right. The pocket is 'over dissected' and because the cause is evident, repair of the fold is the correct solution. If we were to get fussy, the left implant could be a bit smaller as well, though the repair of the fold should be stable and effective, and fix your problem.
Best of luck,
You might also like...
How to Fix Slight Bottoming out Due to Over-dissection?
I am sorry to hear about your concerns. The left breast inframammary fold appears to be a little low, causing the implant also to sit low. A breast implant revision with capsulorraphy to raise the inframammary fold should fix the problem. I would discuss your concerns with your surgeon.
Larry Fan, MD
Correcting breast asymmetry
The left breast fold appears lower than the right which also makes the distance from the fold to the nipple longer on that side. Corrective surgery to raise the left fold is possible through a number of techniques. Manipulating the current capsule about the implant and essentially placing the implant in a new space yields good results. There are also dermal grafts which can be used to recreate/restore the fold to the desired position.
I would encourage you to return to your surgeon and discuss your concerns and options. If your concerns are not adequately met seek out a board certified plastic surgeon for a second opinion.
I hope this was helpful and good luck.
Asymmetric folds under the breasts
If there is asymmetry of the folds under the breast they can be improved with either suturing inside the pocket or on occasion a material can be used called acellular dermal matrix (Strattice) but it is not typically required for a first time repair. I would discuss your concerns with your plastic surgeon where you can come up with a plan together. It does appear to me that elevating the left fold will give the best aesthetic result.
I hope this helps
How to Fix Slight Bottoming out Due to Over-dissection
Breast revision surgery is performed for a number of reasons and factors related to the patient’s initial breast surgery. One reason is #asymmetry.
However, there's no guarantee the #asymmetry will simply be resolved with one breast revision. There are various reasons breasts can appear uneven or asymmetrical; which have to be taken into account when your surgeon determines the appropriate approach and technique for your #revision surgery.
Typically, it's best to wait 6 to 12 months depending on the reason for #revision. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.
Lift the left...
Your left breast implant has drifted downward and needs to be lifted in an upward direction.This will require a procedure known as a capsuloraphy.This procedure involves placing sutures in the lower breast pocket to raise the height of the inframammary fold.This procedure provides correction of the problem and is associated with high satisfaction rates.
If you’re concerned about implant malposition, it’s important to consult your plastic surgeon.Your surgeon should be able to formulate a plan that addresses your concerns.
Bottoming out of left breast implant
Bottoming out correction
I would suggest repair of the left inferior breast capsule with permanent internal sutures (capsulorrhaphy). This involves removal of a segment of breast implant capsule among the inferior/lower aspect of the left breast implant pocket. The 2 edges of capsule tissue are sutured to one another with permanent suture. This procedure reduces the size of the implant pocket and prevents the descent of the implant on the left side. This procedure will improve the symmetry of the breasts and the positioning of the nipple–areola on the left breast mound.
Make sure you're working with a well trained experienced board-certified plastic surgeon. Capsulorrhaphy, even in the best of times, is not always successful in further revisionary surgery may be necessary.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.