What exactly is wrong with my implants and what will the cost be to fix this? (Photos)

Unfortunately, you have not provided before photographs. However, it is possible that your breasts were low on the chest wall and as a result the implants had to be centered low on the chest wall underneath the nipple-areola complex. This resulted in your breasts bottoming out. Larger implants and GalaFlex will not solve your problem. At this time, I recommend explantation and lift 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. The areolas can be reduced to the size you desire. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear Candy266,

tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.
The type of surgery best for you will depend on the severity of your condition.
My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.
That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.



Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question.
Photos taken prior to your breast augmentation would be very helpful in determining the cause of your asymmetry. Often significant asymmetry exists preoperatively, which can make it more difficult to achieve symmetry with breast implants.

It does appear you have a combination of issues contributing to your asymmetry. I would agree that you do have some "bottoming out" on the right side, which can be corrected with removal of your implant and repair of the capsule. Mesh support may be indicated, particularly if you want a larger implant.

The implant on the left is "high riding". Correction requires removal of the implant, release of the capsule and possible additional release of your chest muscle to allow the implant to sit in a lower position. If you had a constricted breast before the surgery, additional procedures may be necessary, including lowering of your inframammary fold on that side.

If you had a wide distance between your breasts before surgery, achieving more cleavage can be difficult with implants alone. I find that this can be effectively done with fat grafting.

Good luck. I hope this helps.