Breast revision lift - what are my options to correct this? (Photo)

Question

I had a breast augmentation in July of 2019. In September 2023 I had a breast lift due to a dropping breast on the right side. My doctor opted to just perform a lift on the one side. However I feel the implant sits higher still and the shape is more oval than the other side. What are my options to correct?

Wayne I. Yamahata, MD · Answer

Your photos suggest the possibility of a capsular contracture of your right breast. To confirm this, or any other causes of the asymmetry would require a physical examination. A return visit to your surgeon would be appropriate at this time.

Gianfranco Frojo, MD · Answer

I would recommend performing a symmetry procedure to match; this can likely be a lift to make the breasts match. I would consult with a surgeon board-certified by the American Board of Plastic Surgery. Ideally, one with experience in revisionary breast surgery.

Jeremy Bosworth, MD · Answer

It looks like the one side settled and stayed a little higher than the other side. Where there is already significant asymmetry it is important to always remember that even the most perfect breasts in the world have some asymmetry, so starting with some will exacerbate that a little more.... That being said, it doesnt mean that they can be closer and that you shouldnt be able to be even happier with them!The side that settled higher may need some pocket work to release it a little bit. The other option may be to tighten up the pocket on the other side a little to push that implant a little higher, but from the pictures it looks like it is sitting really nice so would be hesitant to mess with it.

Tyler Frew, MD · Answer

Hello there, 
You could be developing a capsular contracture on the right side. This is when the internal scar (the capsule) around your implant becomes thickened and contracted. this puts pressure of the implant and distorts its shape. If the right breast is harder than the left and moves less in the pocket, you likely have a contracture I would bet that the inferior part of your capsule is thick and causing the implant to sit higher that the other side. It is possible to fix, but will require another surgery to removed the thickened part of the capsule and placement of a new implant. This has a fairly high success rate however could occur again. I would be sure to also put you on Singulair and Vitamin E after the next surgery to help reduce the risk of the contracture

Gary M. Horndeski, MD · Answer

Your one breast does look more elliptical than the other. If you like the look of the elliptical breast then fat transfers can be done to the other breast to match or you can have the implant replaced with a smaller one or the pocket released on the breast that is lying too high.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

The higher and less oval side needs to have the pocket reshaped for it is sitting a little high and tight.  The other side appears that it is good.

Mats Hagstrom, MD (license on probation) · Answer

This response was dictated using Word recognition. My apologies for any grammatical errors.
To make an accurate assessment regarding the outcome of any plastic surgery procedure we need to see quality before and after pictures.
If you don’t have it before and after pictures and ask your surgeon to forward the pictures they took.
If you’ve had more than one operation, then you should include before and after pictures of each of your previous breast surgeries.
Quality breast augmentation is based on three variables.The first variable is patient candidacy.
Variables that determine candidacy include things like breast, asymmetry, breast placement on the chest wall, breast divergence, breast, diameter, breast, droopiness, etc. etc.
The second variable is the choice of implants in regards to size shape, and type.
The third variable is the surgeons ability to place the implant in the correct anatomic location.
In your case your outcome is directly related to all three of those variables.
 Your candidacy for breast augmentation was inherently, somewhat limited from the beginning.
Your breast are highly divergent, and this will be amplified with the projection of implants.
Implant choice will also excessive.
Your implants are far bigger than the natural anatomic diameter of your breast, and this is going to lead to secondary problems, including complications, and need for revision surgery.
 Finally the implant position and addressing breast shape is a little less than ideal, but this is part related to implant selection and candidacy.
You’re right implant is riding high and you have mild ptosis on that side. Your left implant is placed slightly low.With the choice of implant size, the implant will not fit within the natural diameter of your breast anatomy.
At this point in order to make your left breast fit the IMF or inframammory fold has most likely been opened. Better placement of your implants. Would’ve been much easier. Using more modest size implants.
Raising the left implant is going to be the most challenging in regards to revision surgery, and this may or may not be indicated. (treatment of bottomed out implant.)
The right implant needs to be lowered slightly and most likely you’ll need a lift on the right side.
At this point downsizing implants may have some benefit, but the outcome would’ve been more stable With a higher degree of long-term success without using excessively large implants to start with. Best,
Mats Hagstrom, MD

Breast revision lift - what are my options to correct this? (Photo)

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