Is it worth getting a revision to bring left breast towards the centre more? (Photos)

Question

This is my second augmentation, I am not happy with the position of the left breast. I feel it is slightly to the side and isn’t sitting as central as the right. They are under the muscle, my left muscle was definitely tighter than the right, could this be why? Is it possible to rectify with a third surgery (I am not against choosing a smaller implant) or would the results be minimal and not justify another surgery? I feel the lateral position makes me look wider in clothes which isn’t aesthetically pleasing to me. I wanted a subtle look so I chose low/moderate profile, could the excess lateral position be rectified by choosing high profile?

Gary M. Horndeski, MD · Answer

It appears that the left implant seems to be larger.  You may benefit from putting in a slightly smaller implant and dissecting the pocket more medial to correct asymmetry.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear JillEight,

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

Connie Hiers, MD, FACS · Answer

Your surgeon needs to examine you and see how much the implant can move medially. You might have a wider sternum on the left side, and it might not let the implant move inward as much. If the bone is not the problem, then the lateral pocket could be tightened.

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