275cc to 375cc revision? (Photo)

Question

Hello, I have silicone implants 275cc under the muscle 2 months ago along with breast lift but I'm not happy with the result. This black spot is skin necrosis on my areola. My breasts look way smaller than expected and the cleavage is huge. Please have a look at my current photos and expectations and let me know if 375cc will take me there. Please also tell me if I need more lift.

Farbod Esmailian, MD · Answer

Thank you for the photos, as they help.  At this point given that you are very early in the recovery phase and you appear to have some wound healing issues, I would say you should wait at least 6 months from your original surgery.The one thing to take into consideration is that obtaining cleavage has a lot to do with the anatomy of the patient in addition to the surgery and breast implants themselves.  A larger/wider implant may get you closer than you are now, but it is unlikely going to get your breasts as close as the photos you have shown.  Also the photos that you have listed are all straight augmentations, meaning no lift was done.  Therefore, it is difficult to compare the photos you have up to what you should expect from your surgery.You do have a very nice result, although perhaps on the smaller size for your liking, I would recommend allowing things to heal and then consider looking for a revision.Good luck.

Jed H. Horowitz, MD, FACS · Answer

Increasing your implant size requires adjusting the #pocket. Also, breast #lift also may be necessary; to better #support the new implant. Additionally, a mesh for further support may be helpful depending on the #implant size and skin #elasticity.

With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation. Any cosmetic #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome.  Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient #reviews. Gathering all of this information will help you make a well-informed decision.

J. Brian Boyd, MD · Answer

I am sorry you are not happy with your result from breast augmentation. There are a number of issues here. The first is size. Clearly the size is not what you expected. A larger implant would help but it must have a base width considerably larger than the one you have, if you want to have anything approaching a 'cleavage.' I am afraid that to get a natural cleavage you would need much larger implants: an extra 100cc just won't hack it. Cleavage is not only dependent on the implant size and shape: it is also related to the position of your breasts on your chest; the shape of your ribcage and whether the implant is placed in front of or behind the muscle. The former is better in this regard because a sub-pectoral pocket is always limited by muscular attachments. There are some drawbacks to a sub-glandular placement, however.The other issue is the size of your nipple-areolar complexes: they appear to have stretched out after the augmentation. They will be stretched even more with larger implants. A Benelli (donut) mastopexy (breast lift) would help here by reducing the diameter of the nipple areolar complexes, and the area of necrosis could be removed at the same time.

Nathan Eberle, MD, DDS, FACS · Answer

you need to wait for things to settle down after this initial surgery. You are still healing at 2 months post-op, we all realize this is not the result you wanted, but trying to rush into place bigger implants likely isn't going to help you or your situation.

Thomas S. Taylor, FACS · Answer

It is perfectly fine to undergo a revision to a larger size, BUT, you must wait several months for your tissues to heal, stretch, and the implants to settle into their permanent position. At that point if you still wish to go bigger I would encourage you to undergo a periareolar mastopexy simultaneously which will greatly improve the appearance of your breasts and areola. Your cleavage can probably be improved somewhat but that ultimately depends on the size and width of the new implant and your muscle/sternal anatomy.  I hope this information has been helpful to you!Thomas Taylor, MD, FACSPasadena, CA

Gregory T. Lynam, MD · Answer

Looks like a bad situation right now to proceed with revision. You appear to have had a donut lift but your areola are still very large and of course the necrosis is a problem. IMHO the periareolar lift is done way too often for the wrong reasons and results in poor outcomes and complications. It traditionally relies on a permanent suture to keep everything together. And yes if this suture breaks or gets infected 5 years later the areola will stretch out again.A preoperative picture of you would help me. I would say wait at least 6 months then consider larger implants. Good Luck!

Curtis Wong, MD · Answer

because there should be a lot of planning that goes into the procedure to achieve what the patient is asking for. Benelli lifts are notorious for producing less than satisfactory outcomes and many surgeons abandon it (except for the most extreme situations when there is no other option) due to the poor scarring, enlarged areola (despite attempting to decrease the size), and the flattening of projection.  At this point, you must allow yourself to heal and then discuss what options you have to achieve what you want.  As for sizing, my patients must choose what they want to avoid scenarios such as yours.

Moneer Jaibaji, MD · Answer

Sorry to learn that you are not happy with your results. Generally speaking, from the photos and your information, changing the implant only will give you more volume. Re doing the lift may improve the shape.

Marcus L. Peterson, MD · Answer

Thank you for the questions and the photos to help with the discussion.  Unfortunately you find yourself with the desire to have some significant change or improvement with your surgery.  I think you can get the results you like by making some changes.  You will want to let your current surgery completely heal before you do any revision.You suggested 375 cc's for the new implants but I suspect you will need larger to get the look you want, as demonstrated in your pictures.  This can be a hard judgement to make but you should have a thorough discussion with your plastic surgeon to help you get what you want.With your wide areolas you may need to place a purse-string sutures to control the diameter.Best WishesDr. Peterson

Milind K. Ambe, MD · Answer

Thank you for your question and photos.  You will need at least 375 if not greater to get the desired look you wish.  If you already have areola necrosis though from your previous surgery then I would caution you to have a lift (although you could benefit from it).  I would strongly suggest you seek in person consultation with Board Certified Plastic Surgeons in your area for the best recommendation.

275cc to 375cc revision? (Photo)

Answers (13)

More Breast Implant Revision Questions

WE SEND PRETTY
EMAILS

Answers (13)

More Breast Implant Revision Questions

Can I get an infection from my bf putting his mouth on my nipple one month post- op?

How much does revision surgery cost for mild symmastia and window shading across top of breast? (photo)

Is swelling 6 days post capsulectomy and implant exchange normal - what is typical healing timeline?

Do 25cc make a difference in size?

Nipples too high after implants dropped. What is the surgery like to fix nipple placement? (Photo)

What size and the closest to 400cc high profile silicone implant?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS