I hate how I look from the side - What should I do this next round? (Photo)

Question

I truly hate the size of these and I know I want a reduction. Currently 485cc left and 415cc right dual plane HP. This next round im unsure if i should do dual plane or completely under the muscle. I do know I want moderate profile. I hate how i look from the side. I really want them out. Also the left side of my boob was like that before surgery. I’m left handed idk if that makes a diffrence in anything. Opinions please and Thankyou Not sure if i want to go to the same Dr or go to a different surgeon.

Daniel Barrett, MD · Answer

Dear Gregarious693652,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. Since you are under the muscle, I would advise you to stay under the muscle (dual plane), revise the pocket and place smaller implants. Dual plane is the standard. "completely" under the muscle is not part of modern breast augmentation surgery and would not be an option for you because you already had dual plane.
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Jacob Carlson, MD · Answer

I would look at a few different factors to determine what you want to do. Based on the size implants you have, I assume that you had some pre-existing asymmetry when it came to the size of the breasts. With the current high profile implants, you're getting a lot more forward projection than a moderate profile implant would. With the moderate profile implant, you would get more upper pole fullness and less projection outward.
Since your pectoralis muscle has already been released from the chest wall, it would be difficult to transition away from the dual-plane pocket.
I'm not sure how long your implants have been in place, but the breast tissue and skin have been stretched out some by the 485cc/415cc implants. If you do decide to reduce the volume, I would recommend doing so only modestly. If you try to go down in size too much, you may have too much laxity and/or need a lift.

Ram Kalus, MD, FACS · Answer

Sorry to learn you are unhappy with your result. An examination in person is necessary to properly evaluate you and make specific recommendations but your left breast demonstrates a waterfall deformity wherein your breast tissue is sliding off your implant. This is often corrected by converting your implant position from submuscular to subfascial (above the muscle).

Do your research and consult with a plastic surgeon whose aesthetics seem to align either your own based on his or her Before and After gallery. Best of luck to you.

Do your research and consult with a plastic surgeon whose aesthetics seem to align either your own based on his or her Before and After gallery. Best of luck to you.

Camille Cash, MD · Answer

Before your revision consultation do some research.  Look at photos of patients that were about your size/look prior to augmentation who had outcomes you like and bring those along.  Surgeons can't replicate others' results but it does give a starting point for what type and size implants may get you to where you want to be.

I hate how I look from the side - What should I do this next round? (Photo)

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