Wanting my implants redone - what type of implant, positioning, etc. would be best for me? (Photos)

Question

I had under the muscle saline implants done in 2017. The implant placement was my surgeon‘s choice since I said I wanted my implants to look more natural. I was immediately unhappy with my results. The implants bottomed out . Most likely due to my heavy pectoral muscles from bodybuilding (figure class). They are so far in my armpits it’s almost impossible to shave and I have a massive gap in cleavage. I know anatomically that isn’t something that can be completely fixed but now know the shape of the implant and different techniques can fix it somewhat. I plan to get them redone within the next year and looking for advice on how to fix what I hate.

Mats Hagstrom, MD (license on probation) · Answer

First and foremost, to make a quality assessment regarding the outcome of any plastic surgery procedure. We need to see quality before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Consider reposting with your before and after pictures. 
Breast augmentation outcomes are generally based on three variables.
when results are less than desirable, we can almost always trace the problem back to these variables.
The first is the patient candidacy for the procedure in the first place.
Not everybody is an ideal candidate for breast augmentation surgery.
 Variables that alter candidacy include breast shape, breast position on the chest wall, breast size, and the angle of breast divergence.
If the breast sit wide on the chest wall, then this appearance can be amplified with the projection of the implants.
Likewise, if someone has a lot of divergence with the nipples pointing outward then this can look more obvious with implants.
The second variable is implant selection in regards to size shape, and type.
Each plastic surgeon will have their own way of guiding patients through the implant selection process.
As a general statement using excessively large implants will increase the chance of undesirable side effects, complications and need for revision surgery. The bigger than implant the more likely the patient is to have problems from the procedure and need further surgery.
 The third variable is the surgeon ability to do the procedure correctly. In other words to put the implant in the correct anatomic location.
In your case, all three variables may be contributing to your outcome.
If you have faith in your provider, then follow up with him or her and talk to them about your outcome and revision surgery.
Otherwise schedule a few in person second opinion consultations with other plastic surgeons in your community.
Recognize that certain things cannot be changed with surgery.
 This includes the ability to move the anatomic position of the chest on the chest wall.
If the breast sits wide apart, then that’s where they sit.
A revision and procedure may give some improvements, but it may also be challenging to get the type of results. You might have been hoping for.
Best,
Mats Hagstrom MD

Wanting my implants redone - what type of implant, positioning, etc. would be best for me? (Photos)

Answers (1)

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Everything you need to know about Breast Implant Revision

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Wanting my implants redone - what type of implant, positioning, etc. would be best for me? (Photos)

Answers (1)

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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.