I was a D to begin with. No kids. Just sagging and deterioration from weight loss. Got a breast lift, reduction and 371 silicone implants. 3 years later, they have bottomed out a bit. My nipples face upward and show through every bra. I have itchy scarring around the nipple and underneath. I have no cleavage on top. Would a lift help with bringing the nipples down or would it bottom out again? I originally wanted a perky C not a D. Would smaller implants and another lift solve the above problems?
February 23, 2014
Answer: Breast augmentation redo Dear Nikki, Thanks for submitting your pictures. From observing your pictures, you indeed appears to be a D cup , your upper pole is flat and the submammary creases are too low, more so on the right side. Also, the right breast is larger than the left one. The reason for your , so called , 'bottoming out' condition is inability of your tissues to hold the heavy implants or superior capsule contracture that pushed the implants excessively down. The good news is that it can be corrected with the , so called, 'internal bra' . Through a small sub areola incision , the lower crease can be elevated ( lower capsulorrhaphy ) and if necessary the pocket can be enlarged superiorly and medially ( capsulotomy ). All these procedures are done without external incision exept for the entry incision . I would also recommend to reduce the the implants by 1 size if you want to be a C cup. It is important that you consult with board certified plastic surgeons who have lots of experience with 'redo' breast augmentation. Check their before and after 'redo' pictures to make sure that you like the results. Also, make sure that their pictures are numerous and consistent and they have good reviews. Best of luck, Dr Widder
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February 23, 2014
Answer: Breast augmentation redo Dear Nikki, Thanks for submitting your pictures. From observing your pictures, you indeed appears to be a D cup , your upper pole is flat and the submammary creases are too low, more so on the right side. Also, the right breast is larger than the left one. The reason for your , so called , 'bottoming out' condition is inability of your tissues to hold the heavy implants or superior capsule contracture that pushed the implants excessively down. The good news is that it can be corrected with the , so called, 'internal bra' . Through a small sub areola incision , the lower crease can be elevated ( lower capsulorrhaphy ) and if necessary the pocket can be enlarged superiorly and medially ( capsulotomy ). All these procedures are done without external incision exept for the entry incision . I would also recommend to reduce the the implants by 1 size if you want to be a C cup. It is important that you consult with board certified plastic surgeons who have lots of experience with 'redo' breast augmentation. Check their before and after 'redo' pictures to make sure that you like the results. Also, make sure that their pictures are numerous and consistent and they have good reviews. Best of luck, Dr Widder
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February 22, 2014
Answer: Will just a lift help? Unfortunately, what you have experienced is too commonly seen after breast augmentation/lifting surgery. At least part of the “culprit” is the quality of breast skin elasticity. Patients in your situation often benefit from revisionary breast surgery which may include additional breast lifting, capsulorraphy, and/or the use of acellular dermal matrix. I hope this, and the attached link, helps.
Helpful
February 22, 2014
Answer: Will just a lift help? Unfortunately, what you have experienced is too commonly seen after breast augmentation/lifting surgery. At least part of the “culprit” is the quality of breast skin elasticity. Patients in your situation often benefit from revisionary breast surgery which may include additional breast lifting, capsulorraphy, and/or the use of acellular dermal matrix. I hope this, and the attached link, helps.
Helpful