Breast revision went wrong - what are the best options to fix it?

Dear papilotte,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. You are right in assessing your asymmetries. The best plan of action would be to revise both augmentation mastopexy‘s, assess in the operating room what is causing that fold, it may be capsule, and may be some tethering of the scar tissue from the first augmentation etc. Obviously your nipples need to be placed at a symmetric location. Finally, as this would be your second revision with multiple moving parts, I would recommend placing an internal bra mesh in order to control the implant locations to ensure symmetry. Good luck.