I am about 7 weeks out from my ba. I have 415cc under the muscle gummy bear implants. My surgeon had a difficult time with my left breast, the pocket was tight and the Breast sat higher for awhile but they looked great. This morning I woke and noticed that my right one has dropped a large amount and my left one is still higher. They are very uneven and it's making me nervous. Is this normal?
July 11, 2016
Answer: Bottoming out after breast augmentation surgery… I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; the lower breast implant does seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”). Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). Sometimes, depending on the clinical situation and history, the use of additional support materials such as acellular dermal matrix or biosynthetic mesh is also helpful. Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with this type of revisionary breast surgery. Key will be: your surgeon's experience level, careful execution of the procedure, careful attention to postoperative care/activity restrictions. I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.
Helpful
July 11, 2016
Answer: Bottoming out after breast augmentation surgery… I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; the lower breast implant does seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”). Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). Sometimes, depending on the clinical situation and history, the use of additional support materials such as acellular dermal matrix or biosynthetic mesh is also helpful. Make sure that the plastic surgeon who does this procedure for you can demonstrate significant experience with this type of revisionary breast surgery. Key will be: your surgeon's experience level, careful execution of the procedure, careful attention to postoperative care/activity restrictions. I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.
Helpful
July 11, 2016
Answer: Uneven boobs after 7 weeks Thank you for your question and photo. My advice is to wait 4-6 months before considering a "final" result. That being said, based on your photograph, it seems that your right implant has fallen below the natural breast crease. Best to consult with your ps to determine if a revision would be necessary. Good Luck.
Helpful
July 11, 2016
Answer: Uneven boobs after 7 weeks Thank you for your question and photo. My advice is to wait 4-6 months before considering a "final" result. That being said, based on your photograph, it seems that your right implant has fallen below the natural breast crease. Best to consult with your ps to determine if a revision would be necessary. Good Luck.
Helpful