How can I improve my breast augmentation? (Photo)

Question

I am 54 years old and wanted to have a breast lift. I was advised not to to the "T" lift , and just use implants to lift my breasts. Doctor used his judgment to put 235cc , although I have asked not to go bigger than 190, he said that that size wouldn't have given good results. Im not ok w/ size, place & position. Should I go for smaller, mesh & stitches or same size mesh/stitches? Would that help me?

Gerald Minniti, MD, FACS · Answer

You appear to have high or extra high profile implants over the muscle. Forget about implant volume. You need low or moderate profile implants of similar or slightly larger diameter placed under the muscle with mesh.

Gary M. Horndeski, MD · Answer

As you requested, you needed a breast lift initially. At this time, you still need a breast lift but now you have implants, which makes the situation more complex. 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 and nipple sensation is maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

I would suggest doing the lift since your natural breasts are sagging and implants do not correct sagging. I would suggest placing the implants behind the breast to hide the implant edges, have less balls-stuck-on-the-chest look, give more support to your implants, and have better upper breast fullness. I would also suggest tightening your lateral pockets so the implants sit more in the center and not going larger.

Hilton Becker, MD · Answer

You lack upper pole fullness 
there are several modalities that can improve this
Fat grafting 
Mesh support 
smaller implants

Mats Hagstrom, MD (license on probation) · Answer

I think you need an in person assessment either with your current provider or get a few second opinion consultations. We need to know how long ago you had your surgery and what the progression hasn’t been regarding your outcome. It would be important to understand if the implant was placed under your pectoralis muscle?
It looks like you may have capsular contractions, and this condition can be challenging to treat without developing recurrences.
Try to find the most experienced breast implant surgeon in your community. This may require having a few consultations. The following is a list of general recommendations for finding the best provider.
Generally speaking, there are three variables that determine quality breast augmentation outcomes. The first is the patient’s candidacy, the second is the choice of implant, and the third is the technical ability to place the implant correctly in the correct anatomic position.
Your preoperative pictures do shows significant breast divergent with your breast, sitting slightly wide on your chest wall.
For a second opinion consultation, I suggest coming, prepared with a complete set of proper before and after pictures and a copy of your operative report. These are part of your medical record and are available to you if you request them from your current provider.
The following are some general guidelines to help find the best provider.
Finding the right plastic surgeon.
One and a half months is not enough time to lose a substantial amount of weight if it's done in a healthy manner.
I'm going to include a write up that I did from my experience of seeing thousands of patients in regards to weight loss.
I personally lost 50 pounds in about eight years ago.
My write up his part for my own personal experience and party from interviewing patience.
Finding the right plastic surgeon is not easy.
I see medical professionals choosing surgeons they think are the best but in reality I only average.
The following are my recommendations for how to find a truly talented board-certified plastic surgeon.
Start with the website like yelp and write down the name of about 20 board-certified plastic surgeon's with excellent reviews and at least 20 reviews.
Next go to the following website and check for reviews on each of those doctors.Real self, rateMD.com, Vitals.com and WebMD.com
 A Doctor Who has organic reviews meaning they have not been manipulated should have an equal distribution of reviews on all various websites.
A Doctor Who has many reviews on a single website but few reviews on the other website showing indication that reviews may have been manipulated.
Yelp is the most difficult website to manipulate so it's a good one to start with.
Many doctors will encourage their patients to write reviews for them.
This may or may not include incentives for the patients.
These types of reviews are not considered organic and in my opinion are manipulated.
I've seen businesses that of been open for less than six months have close to 100 reviews.
I know some of the most talented doctors who been in practice for over 20 years have two or three reviews.
Doctors have a strong presence on social media are good at social media. This has no correlation with their surgical talent.
One of the most talented facelift surgeons in the world lives in San Francisco.
He is often booked up for more than six months.
He does not even have a website.
Plastic surgery is a competitive field and many plastic surgeons have sophisticated marketing teams.
Once you've isolated 10 doctors who seem have an overall excellent reputation you should schedule several in person consultations.
Even if you really like the first doctor you meet you should follow through and go through all of the consultations.
If the consultation is performed by a patient care coordinator or sales person then be leery.
If it seems like commission sales and that's what it is.
How much time did the doctor spend with you?
Did the doctor give you a realistic expectations or simply tell you how great you're going to look?
Reviewing before and after pictures is very important.
A talented plastic surgeon that has extensive experience with liposuction should have at least 30 to 40 before and after pictures of liposuction cases.
Ask to see results that are average excellent and not so good.
Ideally you should ask to see 10 consecutive cases but it is unlikely he will be able to get that.
Price is important but there is little correlation to talent and price.
That said the doctors who give bargain basement prices are probably not the ones you want to go to.
Ask each doctor with their revision rate is.
Doctors or highly committed to getting the best results should have a low threshold for doing a revisions.
Doctors who claim they never do revisions are either not true patient advocates or not being honest.
Ask each doctor what your policy is for revisions.
Who pays for it?
If fairly common practice is the doctor will not charge for revisions but may ask the patient to pay for all or some of operating room or Anastasia fees if they're needed.
Review what each of the plastic surgeons offered and use your gut instinct of who to go with your gut instinct.
I hope you find it helpful.
Best,
Mats Hagstrom M.D.

How can I improve my breast augmentation? (Photo)

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