Nipples too high and breasts are not the size what I wanted after explant. Can I go back to my surgeon to get it fixed? (photos)

Question

In 2013 I had a breast augmentation. About 6 months after getting my implants i went on for 7 years always being sick. Some disease, random rash etc. They were toxic and in May 2020 I had an explant, capsulectomy and lift. Well I am not happy. I asked for a small B, didn’t get it. Also, immediately post op my nipples were placed TOO HIGH they pop out in anything and i have alot of fat under my arm from years of stretched skin. What can be done? I’m miserable (Pics: 5 day post op - 1 year later)

Michele A. Shermak, MD · Answer

Hello! Yes - your mastopexy can be revised. Looks like the lower aspect of the breast should be shortened. You may benefit from fat grafting and also a biological product to support your crease, a product called Galaflex.
You should visit with a board certified plastic surgeon. You can see your original PS or someone new.
Best of luck!

Daniel Barrett, MD · Answer

Dear Glorious943186,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry that your results have not been what you anticipated.  I agree that you have had a bottoming out of your natural breast tissue with resumption of excess skin that should be treated with a surgical revision to improve your results significantly and to help limit exposure of your nipple.

Donald R. Revis Jr, MD · Answer

Good afternoon,
I would definitely return to your PS because they wouldn't want you to have to walk around like that- you definitely need a revision and can look much better!

Connie Hiers, MD, FACS · Answer

Your own tissue has sagged and can be relifted. Just based on your photos, your nipples are not too high and were placed in the proper location. The inferior incision can be extended to remove excess skin lateral to your breast. If you want to be smaller, more breast tissue can also be removed.

Camille Cash, MD · Answer

Based on your photos you can expect significant improvement with a revision.  I would recommend returning to your surgeon for a consultation.

Douglas Taranow, DO, FACOS · Answer

Dear Glorious,
You would look significantly better with a revision breast lift with liposuction of the excess fat of your lateral breasts.
Dr. T

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