Reposting with pictures- do I explant and give up? (Photo)

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery and have been in practice for almost 30 years. In fact, I wrote the first and second papers ever written on capsulorrhaphy-internal bra. I definitely would not give up. I find that most plastic surgeons do not do an adequate capsulorrhaphy. Additionally, you would need a revision mastopexy. I have had many patients who have had similar issues with excellent results. You should be able to have an excellent outcome. Best wishes to you.

Dear Dazzling4087,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.