Breast implant revision needed. Wondering the best option to go forward? (Photo)
Doctor Answers 10
Going smaller after deflated right implant
Thank you for your question and photos posted.
Sounds like you had a good run with your previous saline implants. Going smaller is not a problem. All you will likely need is a smaller implant placed on each side. I also recommend coming in to have the left side deflated in the office and allowing the pocket to contract over a few weeks. That way the capsule will have equal time to contract so that a smaller implant is not floating around in a much larger pocket.
I hope this helps.
- Dr. Bryson Richards (Board Certified Las Vegas Plastic Surgeon)
Seek a Board Certified Plastic Surgeon for a BA Revision
Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Going smaller with implants
Typically, when you go smaller with your implants, you should consider a mini-lift to tighten up your stretched out skin and improve your nipple/areola and breast position; from your photos it is difficult to assess the later. Please see examples below.
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Deflate saline implant before replacement if going smaller
Consider having the other implant deflated (easy to do in the office), so the skin envelope has a chance to shrink a little bit. It might then be easier to determine which replacement implant will fill what you have in order to avoid having to do a lift. It will depend on several things, especially how much smaller you want to go.
Revision Breast Augmentation
Time for silicone gel under the muscle! Go visit a few ABPS certified/ASAPS member surgeons that specialize in revision breast surgery. Best of luck! Instagram: drgeraldminniti
Breast implant revision needed. Wondering the best option to go forward?
Thank you for your question and your photographs. You appear to have adequate breast tissue and nice anatomic shaping and should do well with placement of a smaller implant. If the implant chosen is too small than a skin reduction becomes necessary with surgical incisions which I would prefer to avoid for you. One option would also be to deflate your opposite implant to allow your skin to tighten slightly before undergoing an exchange of implants. Meet with an ABPS board-certified plastic surgeon to discuss your options and consider changing to a cohesive gel implant to avoid these repeated deflations. Good luck and best wishes,
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
This question requires a consultation and examination to provide you with the proper information and advice. Generally speaking, exchanging for a smaller implant can be done with our without a breast lift depending on your examination, and the degree to which you want to go smaller.
Hope this helps.
Dr. Ali Mosharrafa
Breast revision options
Your best option is to meet with a board-certified plastic surgeon who can examine you and go over your options. Implants over the muscle may benefit from being moved to partially below to improve coverage (site change) and you will most likely need a breast lift after your pregnancies.
I hope this helps
So go smaller
going smaller is always a personal choice. IF that is your desire, then do it, nothing stopping you from that. You can likely just downsize and not have too much other major surgery, if you have done well with that pocket then putting a new implant back in the same pocket would seem more than reasonable.
How large do you have to be?
You could simply have explant and fat grafting if your size does not have to be increased by a lot or you do not need a convex upper pole. Otherwise downsizing is certainly feasible. To improve results, I would recommend deflating your left side and allowing the capsules to shrink for a month, especially if your pockets are too large to the side. Discuss your goals with your surgeon and with the information you've gained from here.
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.