My inframammary fold is uneven. Can this be fixed? (photo)

Question

I had my boobs done in 2013 to even out my asymmetry. My left was a small b and my right was a full c. They are stil two different sizes. I want to get to a lift resize my nipples and also fix my fold? Is it even possible to lower my right fold to match my left? Or make my fold higher? The doctor I recently went to said it couldn’t be fixed.

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question!  On your submitted photos, I could appreciate the asymmetry nd the revisions that you desire. Some of the difference may be from a capsular contracture, which may appear as size difference as well as fold/and or implant position differences. Even if simply a breast fold and/or implant issue, thus could also be corrected by either revision of the breast and/or implant. A further evaluation would certainly be necessary, but revision and improvement to meet your goals should be able to be accomplished with surgical revision. Hope that this helps. Best wishes!

Yannis Alexandrides, MD, FACS · Answer

This asymmetry isn't limited to just the fold, but also to the rest of the breast. Usually inframammaryfolds and asymmetry can not be completely resolved, however the appearance can probably be improved with a combination of surgeries. However, this is something that has to be performed by an experienced surgeon who will also explain the side effects of this surgery to you.

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question and photographs.  And yes, I do indeed agree with you that you have rather significant symmetry issues that could/should be addressed.  Obviously it would be helpful to know what your breasts initially looked like, but it will be equally important to know what your plastic surgeon did during your augmentation operation.  I would definitely circle back to your plastic surgeon and even consider getting a second opinion!  Best of luck!

Matthew J. Nykiel, MD · Answer

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialist.
This is very likely something that can be improved with surgery.  Seek out a board certified plastic surgeon with a lot of experience in implant revisions as some of these procedures can be tricky to perform.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Breast Augmentation Specialist
Board Certified Plastic Surgeon

Christine Rodgers, MD · Answer

HI pensacola,
It would definitely be easier to raise the right fold and overall, you would have a nicer result with this. I agree with your idea to have a lift on both sides and reshape the breasts a bit. Please see a Board certified PS in your area who can help you with these issues.
Good Luck,
Dr. Christine Rodgers

David C. Yao, MD, FACS · Answer

Thank you for sharing. The breast do have some issues that can be addressed. Your old records and implant information will help. The size volume difference and fold could all be addressed in one procedure. Please see a local board certified plastic surgeon who can give you a good plan for your goals! Best wishes!

David A. Caplin, MD · Answer

The photos don't provide a great deal of detail but, from what I can see, this is  very likely something that can be improved with surgery.  Seek out a board certified plastic surgeon with a lot of experience in implant revisions as some of these procedures can be tricky to perform.

Anthony Deboni, MD · Answer

Yes, asymmetry can be corrected, but an in person examination is needed to determine what the cause of the asymmetry is.  Make sure you consult with a surgeon who can demonstrate significant experience with revisionary breast surgery.  Best Regards.Anthony Deboni, MD@drdeboni

Daniel Barrett, MD · Answer

Dear pensacola9959,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

pensacola9959I appreciate your frustration, however breast asymmetry is fairly common, and certainly treatable!. In your case, I recommend exchange of implants with capsulectomy, with breast lift and lowering of your right inframammary fold, if needed. Sometimes the breast lift is enough to correct the asymmetry, but lowering the fold is certainly feasible, if needed. Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.

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