Considering a breast implant revision - what is the best option to achieve more cleavage and correct asymmetry? (photos)

Your breasts don't need a lift, your implants do: scar capsule tightening plus a resorbable mesh will achieve long lasting results. This will vastly improve dropout and subtly improve gap. Softening of the transition between implant and chest wall will be difficult without fat though. However, once the implants are in good position, with more muscle covering them, you will likely be happy.

Thank-you for your query ! Based on your photographs and your weight, the best option would be to get smaller implants and do a breast lift as well. This will help in achieving better symmetry, and the pockets can be reshaped to give you better cleavage as well. Please discuss all your concerns with your Plastic surgeon before making a decision. All the best!

Thank you for your question regarding breast implant revision. It looks like the best way to get you more cleavage and fix asymmetry is to remove and replace the implants. Because your areolas point outward, it will be important to suture around the outer breast to keep the implants from shifting. This will also help obtain cleavage. You may need a mastopexy to address the “drop “ you were talking about. An incision would be made around your areola down the breast, and under the inframammary fold like an anchor. We can re-approximate where the nipple will go, which will help give you the breast lift you desire.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. In your case, you are a straightforward fix with an internal bra procedure, otherwise known as capsulorrhaphy. I wrote the very first paper on this 20 years ago. You should be able to have an excellent result with an attractive cleavage zone. Best wishes to you.

It will be difficult to achieve your goals without a breast lift. I would recommend to have the implants placed under the muscle to achieve a nice cleavage. There is no need to change the implants if they are intact . But you may want to have a high projection implant Best of luck

Dear OCG926,
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

Your implants are too large and heavy for your tissue to support. You need to go down in size and have your pockets tightened. You may need an internal mesh bra for support. Unless cadaver fat is used, a fat graft may not be an option for you.