What should I expect from my revision? (Photo)
Doctor Answers 13
What to Expect From Revision?
Your before pictures are very useful. They show us that you start out with quite a wide space between your breasts and that you have a significant degree of ptosis or sagging of your breast. Many surgeons would have recommended that you have a lift in addition to an implant. Understandably patients would prefer to avoid the additional scars of a lift (I guess you could say less invasive), but that choice means that you will get a certain type of outcome. Very often a surgeon might say that you can have just an implant, but that does not mean that it is the optimal way to treat your situation, or that you will be happy with the result. In fact, your result is EXACTLY what would have been predicted based on where you started and the operation that was performed. It reinforces the understanding that implants do not lift your breast. This should have been discussed with you before your surgery.
Does that mean that you had the wrong operation? No, It just means that there were certain tradeoffs for the choice of operation that was made. Your result actually looks good given the limitations of what was done, but the result is a bigger implant that is low on your chest wall, that lacks the upper chest fullness that you wanted, and your nipples are rotated downwards. Some patients would find this a satisfactory outcome for being able to avoid a lift. Obviously you do not. Clearly there was a failure of communication of expectations and of what the surgery could deliver. Review of "want" photos after the surgery is done is completely backwards. This should have been done prior to your surgery so your goals were properly communicated. It shouldn't be your responsibility to find photos of lollipop lift and aug, it should be the surgeons responsibility to demonstrate what those results look like.
Can this be revised so that you have a smaller implant that is more lifted? Certainly. You would need to have the implant exchanged for one that is smaller and the internal pocket would need to be revised so that the implant sits much higher on your chest wall. In addition you will also need a lift so that the position of your nipple and breast tissue matches the implant. This revision can potentially narrow the space between your breasts somewhat, but when you start out with a quite wide space between your breasts, there are real limitations on how much that space can be narrowed. This is also something that should be clearly discussed before your surgery. So yes, you can have a revision that will get you significantly closer to your goals. But this will mean another operation at significant additional expense to you. Clearly it would have been better to have had the lift and implant combination the first time around.
Lift or augmentation
If you just wanted a lift
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If you went to a doctor that talked you out of a lift, you went to the wrong doctor. Please visit a few ABPS certified/ASAPS member surgeons expert in revision breast surgery. You'll need a pocket revision using sutures, smaller implants, both done through an inframammary incision to reduce your risk of capsular contracture, and a formal lift.
Best of luck!
Revision breats surgery
The bottom line is you need a lift
What should I expect from my revision?
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California
What should I expect from my revision?
From the photos, you can have an excellent result with a breast lift. Since I haven't since the pictures you want, I cant comment on how realistic your goals are. You might choose to post your goal pictures with your current pictures and then you can get more feedback on what is possible vs not.
Can't go closer without going bigger
Redo breasts augmentation
Thanks for submitting your before and after pictures.
From observing your after pictures, you appear C cup size with level 2 ptosis, very large areola and wide cleavage.
I have been in practice for 29 years and did breasts augmentation on thousands of patients. I operate on patients like you on a weekly basis.
The corrective procedures should be as follows:
1. Implants size reduction as you wish
2. Capsultomy (scar release) with careful attention to the cleavage area. This is best done through a subareola incision , which allows for doing it under direct vision and feel.
3. Bilateral mini lift (donut) which will give you a perky look with smaller and more attractive areolas.
If you were my patient with the presentation of your before pictures, I would have refused to do the surgery on you without a lift procedure (mini lift or full lift). The reason you are bigger than what you wished for , is because your surgeon tried to lift the nipples with a large implants, which obviously, did not work.
You have to realize that not all results are the same, especially for redo breasts augmentation, because experience, skills ans aesthetic eye are critical for good outcome.
So do your due diligence carefully and choose wisely. Financially, redo surgery by your original surgeon is the most economical, however, your satisfaction with your surgery outcome is more important than the cost.
Always, consult with experienced board certified plastic surgeons who do lots of redo breasts augmentation surgeries in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.
Best of luck,
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.