1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Question

Been a year since my over the muscle BA. I was told I didn’t need a lift but that is obviously very untrue. I feel like the PS recommendation for overs was not correct. They have a weird shape and just hang. I hate the dips in my cleavage and upper pole. My chest is flat and long. What am I looking at to make them look nice? I need to save up and feel completely lost. I think the implants are too small given the about of empty feeling skin. See before, 1 yr after and goal pics.

Joe Gryskiewicz, MD, FACS · Answer

Thank you for your inquiry.  I do think a breast lift would give you more of what you are looking for.  When the nipples tend to point downward instead of straight ahead, that is when we recommend a breast lift.  Adding implants to sagging breasts will just give you a bigger version of what you started with.  A mastopexy will remove the loose skin, bring your nipples up to the center, and give you more upper pole fullness.  If you decided on a breast lift, you don't need to change your implants unless you wanted to change the size.  I think the current size is good and you would have the results you are looking for with a breast lift.

I'm sorry that you are feeling lost and unhappy with your results.  If you have any further questions or concerns, you can reach out to us and we would be happy to help.

All The Best,
Dr. (Joe) Gryskiewicz

Zoran Potparic, MD · Answer

You definitevly need a lift. Considering that you have enough soft tissue coverage, there is no need to place the implants underneath the muscle, although it is a possiblity. Cleavage and upper pole fulness will be improved with lift and impant lift in a more proximal position but it can be further improved with fat grafting; I would not suggest doing that before lift result have settled (at least one year after lift). Hope this may help. Good luck.

Gerald Minniti, MD, FACS · Answer

What to do: completely remove the implants and their capsules (relatively easy being over the muscle). Create a subpectoral pocket for new implants. Mesh should be used to preserve the new pocket and obliterate old pocket. Perform a breast lift. Go to a breast expert.

Daniel Barrett, MD · Answer

Dear Warmhearted550608,
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

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  I agree a lift was required originally and I would recommend replacing your implants into a sub muscular position and a full lift.  Depending on your tissues quality evaluated during an in-person examination you may also benefit from mesh placement. Hope this helps.

1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Answers (10)

Answer: Revision surgery

Answer: Revision surgery

Answer: 1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Answer: 1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

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Everything you need to know about Breast Augmentation

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1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Answers (10)

Answer: Revision surgery

Answer: Revision surgery

Answer: 1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

Answer: 1 year post breast augmentation, what can I do to achieve my desired look and address Cleavage and upper pole? (photos)

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Recommended reading

Everything you need to know about Breast Augmentation

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