Implant high - massage w/mesh? (Photo)

Question

Implant rupture in March 2024 w/replacement to HP silicone and bilat. capsulorrhaphy. Right breast was the one that ruptured and after revision bottomed out. Revision done September 9, 2024 w/mesh and popcorn capsulorrhaphy revised and now w/the revision to the right breast it's sitting high compared to the left w/ no mesh. PS recommends massage and no underwire bra. Will any of that help it relax to be similar to the left breast? Concerned my PS over corrected the bottoming out.

Gary M. Horndeski, MD · Answer

Creating symmetry is the hardest thing to achieve.  From your photographs, it appears your implants are large and heavy.  This has lead to additional mechanical loading that has resulted in bottoming out.  One side has mesh and the other does not so you have asymmetrical support mechanism of your breasts.  I recommend you wait 6 months before doing any other revisions.  You may benefit from smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Dana Goldberg, MD · Answer

Your photos are too close up to really tell anything. I can say that it is common for “bottoming out” repair to fall again, so it’s common for surgeons to slightly over correct. I sometimes encourage my patients to wear a bandeau or massage as your surgeon suggested. It’s early enough that there is definitely a chance of it becoming more symmetric with the other side. If it’s not, I urge caution about going back in. Revision can be unpredictable, so if they are close by 3-6 months after surgery, I recommend leaving well enough alone.

Connie Hiers, MD, FACS · Answer

You might get improvement with oral Accolate and external ultrasounds treatments to help soften the pocket since you are still healing from surgery. Please go back to your surgeon and discuss your concerns.  Your photos are limited since you do not show the full view of your breasts. I cannot be specific about your inferior pockets since they do not show.

Darryl J. Blinski, MD · Answer

Based on your posted photos that are too close up and do not show the full breast. I would recommend exchange the smaller implant with a larger implant, high profile and fat crafting after some Lipo to the inferior pole of that side. But best of virtual concert with to really see your breast. Expect feeder range from $8000-$16,000. Again best to virtual consult with.

Mark Eberbach, MD · Answer

Unfortunately, you did not provide adequate history or photos to answer this question.

Need pre op and post op from each surgery with views of the entire chest front and both sides.

Having said that you need at least 6 months to determine final resting place.

Implant high - massage w/mesh? (Photo)

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Implant high - massage w/mesh? (Photo)

Answers (6)

Answer: Revision of breast implants with bottoming out more than twice options

Answer: Revision of breast implants with bottoming out more than twice options

Answer: Post op asymmetry

Answer: Post op asymmetry

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.