Depression after two revisions. Is there a way of getting a more natural look? (Photo)

Question

I went from 325cc to 450cc in order to get a better cleavage and first my implants were too small to create any significant results (left picture), and after my revision + fat graft (right) they are still too far apart and now look very fake and obvious. It’s hard for me as I like natural looks and this goes against my persona. My surgeon says there’s not much to be done to get what I want. Am I really stuck with this fake look forever or is there a way of having a more natural/closer look?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to revision breast surgery.  In your case, I would recommend changing to a smaller implant, suturing the lateral/outer portion of the pocket - capsulorrhaphy and opening up the center portion of the pocket - capsulotomy.  I wrote the first paper on how to perform this almost 20 years ago.  You are an excellent candidate for this.  Best wishes to you.

Daniel Barrett, MD · Answer

Dear Kinoshy,
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

Connie Hiers, MD, FACS · Answer

Although you did not show nude photos, your breasts probably sit somewhat wide apart and that cannot be changed. I would suggest going back down in size to give a more natural look. what you have is large for your frame and does look round and fake.

Depression after two revisions. Is there a way of getting a more natural look? (Photo)

Answers (3)

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