Recommendations on corrections for lift and implant placement? (Photos)

Question

Hello, I had a breast “lift” and new implants in February of 2024. The doctor told me a donut lift would achieve my goals, however, they are horrible and I need a new surgery. Placement is on top of the muscle. Would like opinions on what would be the best correction and how long I need to wait to have the revision surgery? Thanks

Gerald Minniti, MD, FACS · Answer

Replace implants into a partial subpectoral position with mesh containment, full breast lift. This will achieve your goals for a pretty, lifted breast.

Gary M. Horndeski, MD · Answer

At this time, I recommend 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 injure during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have a whole gallery titled "Long term changes of breast implants placed on top of the muscle".  I have been in practice almost 30 years and revision breast surgery is a large portion of my practice. I fixed many breast similar to yours. You would need to have your implants placed under the muscle and have a revision lift-mastopexy.  You should be able to have an excellent result.  Best wishes to you.

Connie Hiers, MD, FACS · Answer

You can have revision now. Your implants need to be placed behind the muscle for better upper breast fullness and less sagging, and the lift may need to be a vertical lift for the best shape.

Darryl J. Blinski, MD · Answer

Based on your nicely post of photos, you would need to complete revision including new implants sub muscular with a full breast lift. Fee $15,000-$25,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we typically need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
If you had implants before, it would be important to know if they were above or below the pectoralis muscle.
 I think I’m more formal breast lift is going to be needed.
With your current implant position, your skin envelope is holding the weight of the implants. 
I suggest having multiple in person consultations with plastic surgeons in your community. 
For a second opinion consultations come prepared bringing with you a complete set of proper before and after pictures and copies of your previous operative reports.
If you’ve had more than one previous breast procedure, then bring before and after pictures and reports for each of your previous procedures.
As a general statement, I think most plastic surgeons prefer placing the implants under the pectoralis muscle, and using a more formal breast lift is generally going to be more stable with better long-term results.
Converting implant position from below the muscle to above the muscle or the other way around can be fairly complex, but it sometimes indicated.
 Finding the right plastic surgeon is the most important variable, but can be more difficult than most people realize.
Best,
Mats Hagström MD

Recommendations on corrections for lift and implant placement? (Photos)

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