Bad Breast Lift, any hope? (Photos)
Doctor Answers 7
Bad breast lift, any hope?
It's very difficult to tell what your specific problems are without a full exam. There is no question that in the right hands your result can be improved. Rest assured that most of your shape problems, internal scarring, asymmetry and poor inframammary fold can be addressed with a secondary procedure. The scope of what you would need done is too much to cover based on your photos. I would recommend a few consultations with board certified plastic surgeons for an in-person exam to discuss next steps. Best of luck to you.
Bad Breast Outcome, what to do?
Hi AlexNel,Thanks for your question and photos. It is hard to say exactly what happened. I can see almost everything that you see except for the displacement of your implants when you lay down since there is no photo of that, but it is a common occurrence after breast surgery based on what was done. Everything CAN be corrected. You will need reconstruction of the inside of your breast implant pockets or location. One way to avoid the muscle flexing(animation deformity) is to put the implants over the muscle. But you may not have enough breast tissue to cover the implants without looking bad. I recommend getting several consultations from board certified breast surgeons that can show you before and afters of similar cases like yours! Good Luck!
All the best,
Carlos Mata MD, MBA, FACS
Board Certified Plastic Surgeon
Mastopexy revision options
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Revision of breast lift
It is very unfortunate that you have a result like this. I do believe that there is hope for fixing your problem. It is not always easy to get a great result after such a surgery, but I'm confident that it could be made much better. I would plan to revise your scars and the size of the nipple areolar complex in order to get a better, smoother shape. The pockets for the implants are asymmetric and the muscle edge is more visible on your right side. If you have an adequate amount of breast tissue, then I would take your implants out of the subpectoral plane and start fresh with a subglandular pocket. This would eliminate the animation with muscle contraction and would allow me to make better, more symmetric pockets in a different plane. I would recommend using textured silicone implants in the subglandular plane. I think that this would give you a much better outcome.
Breast Lift Problems
Undesirable Breast Lift - What's The Problem & How Can It Be Fixed?
1. From your comments, it sounds as if your breast implants have gotten a capsular contracture. If you were my patient, I would remove the implants, do a total capsulectomy, place a piece of Seri in to prevent re-encapsulation, place a drain and use the Keller funnel for the placement of the implant. Also, I am not a big fan of saline implants because they ripple and eventually leak. Again, if you were my patient, I would strongly recommend a silicone implant such as Inspira by Allergan
2. The distance from the inframammary fold to the areola appears to be too long given the size of the implants. This has led to what appears to be star gazing of the nipple areolar complex. If you were my patient and based on the pictures you sent, I would shorten the vertical limb of the mastopexy, therefore bringing down the nipple areolar complex into a more aesthetic position.
3. Your areola are too large. If you were my patient, I would decrease the diameter of your areola by doing a circumareolar reduction with a permanent Benelli suture to keep the areola from spreading.
4. With reference to the jagged edges around the existing areola, if the areola was not reduced, a smooth edge can be achieved by medical tattooing. If you were my patient, Jason who does an excellent job of nipple tattooing can match your areolar color and eliminate that unattractive, jagged edge.
I am sure your plastic surgeon is as devastated as you are over the final outcome. Although your end result would not match what any surgeon would be happy about, the basic concepts of a Weiss pattern lift have been followed to include a dart in the middle of the horizontal limb of the mastopexy to take tension off that area, and therefore decrease potential breakdowns at this point. I highly recommend you seek consultation with your primary plastic surgeon and allow him or her the opportunity to correct this unfortunate outcome.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.