What causes square shape after breast lift with implants? (Photo)

Question

I had a breast lift with implants ten years ago. I was already a full C/D with lots of sagging. When I got my lift and implants they ended up looking square- flat like pancakes with no preojection. I’ve seen other lifts with implants look like this and am wondering what causes that? I’m going in for a new lift with implants soon and am just trying to make sure it doesn’t happen again. Also on a side note one of the implants sits a little higher and actually has loose skin hanging underneath it?

Alan Gonzalez, MD, FACS · Answer

Hello @Nkas954 thank you for your question, there are several reasons for why the form is different than your goal look. What I can see here is that the placement of the prosthesis is too high and is behind the muscle. The solution is a breast reconstruction to make the breast look according to my criteria with an adequate aesthetic result. That is, a breast that has a proper shape and proportion, a little conical and that has a little descent in the upper part. Best wishes!

Donald R. Revis Jr, MD · Answer

Good evening,
basically the lift wasn't aggressive enough- and your implants are stuck up high and your tissue is sagging off of them like they are melting. Another lift can give you a better shot at good results!

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

John LoMonaco, MD, FACS · Answer

In the photo, you have a "waterfall deformity" which is a very high sitting implant (possibly from capsular contracture, or the aging process, or a combination).  This will require a lift and an implant carefully selected to fir the new amount of skin and tissue left after the lift.

Over-augmented breasts , anchor-scar breast techniques, and capsular contracture are the most common causes for a boxy, "pancakey" or square-shaped breast.

Ronald J. Edelson, MD · Answer

Your main problem is that your nipples weren't lifted far enough. This is not uncommon. Your revision should concentrate on moving your nipples to the right place. That alone will improve the appearance.

What causes square shape after breast lift with implants? (Photo)

Answers (7)

Answer: Square Breast Shape

Answer: Square Breast Shape

Answer: Breast lift

Answer: Breast lift

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Everything you need to know about Breast Implant Revision

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What causes square shape after breast lift with implants? (Photo)

Answers (7)

Answer: Square Breast Shape

Answer: Square Breast Shape

Answer: Breast lift

Answer: Breast lift

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.