Would mesh help support implants that are falling to the side? (photos)

Question

i have had a breast reduction a few years back from losing 150 lb. then about 6 months later i put 400 cc implants in. about a year later i was bottom out. so i went smaller about 275 cc. i feel like they are falling to the side and im not sure if i should do mesh to hold them better. i also have a keloid i have had it fixed be for but it come back n now i feel like it take up my hole side of my boob any advice would be appreciated thank you

Daniel Barrett, MD · Answer

Dear hazyz,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your breasts are too large for the chest wall.  At this time, I recommend explantation using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Usually, mesh is not needed to tighten the lateral pockets because there is enough tissue to close the gap. However, if you are thin, mesh can be added for better support. You do need to wear a good supporting bra initially after the repair. Please discuss this with your surgeon.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment, we need accurate information.
Your situation is complex and to get a good understanding of why your breast look the way they do. We need to understand where you started and what you’ve been through.
This would mean having access to proper before and after pictures of each of your previous procedures and operative reports.
 You should be able to obtain these from your previous providers by requesting them.
Before, and after pictures and up reports or parts of your medical record.
I collect the information and the schedule in person consultations with plastic surgeons in your community or follow up with one of your previous providers.
It looks like your breast are highly divergent.
It would be important to know what your breast looked like before your previous procedures.
I don’t think you’re going to get a good assessment based on providing limited information.
If your breast sat wide on your chest while to begin with, then placing the implants more immediately may not be ideal.
Your situation is complex and requires more information to give you appropriate guidance.
Best,
Mats Hagstrom MD

Would mesh help support implants that are falling to the side? (photos)

Answers (4)

Answer: Understanding your outcome

Answer: Understanding your outcome

Recommended reading

Everything you need to know about Breast Implant Revision

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Would mesh help support implants that are falling to the side? (photos)

Answers (4)

Answer: Understanding your outcome

Answer: Understanding your outcome

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.