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

Question

I got 415cc implants 2 years ago. At the time, th surgeon said a lift wasn’t necessary. He also mentioned that I could always do a fat transfer after the surgery if I ended up unhappy with the space between my breasts? I should have done more research at the time. I am now wondering what my best option would be to fix the gap so that I have cleavage, and to fix the asymmetry/drop. Do I need to switch both implants out and do a lift? I’m 100lbs, so a fat transfer seems tough.

Gerald Minniti, MD, FACS · Answer

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.

Ajaya Kashyap, MD · Answer

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!

J. Timothy Katzen, MD, FACS · Answer

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.)

Paul E. Chasan, MD, FACS · Answer

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.

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

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

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

Answers (7)

Answer: Breast Revision

Answer: Breast Revision

Answer: Breast implant revision

Answer: Breast implant revision

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.

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

Answers (7)

Answer: Breast Revision

Answer: Breast Revision

Answer: Breast implant revision

Answer: Breast implant revision

Browse related questions

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.