Implant high - massage w/mesh? (Photo)

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.

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.

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.