What would be your treatment plan to help me achieve a full, fake augmented look? (photo)

Dear LHudson92,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery. I have developed a surgery that is best suited for your desires. Is called reductive augmentation. I published this in 2017. You do not need any meshes or additional foreign objects in your breast. The surgery includes an implant exchange ultrahigh profile silicone implant, internal bra-Capsulorrhaphy, and revision of your lift-mastopexy. You should be able have an excellent result. Best wishes to you.

Thank you for sharing your goals – it sounds like you’re looking for a fuller, more augmented look, and I completely understand why you’d want to address the sagging you’re noticing.
Based on your description, here’s what I would recommend to help you achieve that enhanced, augmented appearance: 1. Revision of the Previous Breast Lift – The sagging in the lower pole indicates that the initial lift may need to be revised to ensure the breast tissue sits higher and more in line with the implants. This will help improve overall shape and projection. 2. Breast Implant Pocket Revision – Adjusting the implant pocket will allow the implants to sit properly, preventing them from dropping too low or shifting over time. This helps improve upper pole fullness and enhances the “fake augmented” look you’re aiming for. 3. Larger Breast Implants – Increasing the implant size is key for achieving that full, augmented look. Highly cohesive implants like the 520cc Natrelle SCF are a great choice, but the exact size will depend on your anatomy and how much your tissue can support. 4. Fat Grafting – To further enhance the cleavage and fullness, I recommend fat grafting. This can help refine the shape, add volume in specific areas, and smooth transitions between the implants and natural tissue, giving a more rounded and voluptuous result.
I’d love to discuss this further and meet with you to develop a tailored plan. With the right combination of revision, implant size, and fat grafting, we can help you achieve the look you’re envisioning.

You will need a larger implant (TBT, but probably nearly double), a capsulorraphy with mesh, and a revision breast lift.

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 injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Your breasts, especially the lower part, are sagging and you need a lift. I do not suggest going larger for your tissue will not support the weight. With your anatomy, you will not have high round implants. Your breasts naturally sit a little low on your chest and the bases cannot be moved.