Is this snoopy deformity? What can be done? (Photo)

Question

1 yr post op from submusular implants + donut lift. Started out with asymmetry & constricted lower pole (before pics attached). I still have some asymmetry & now they seem snoopy? My surgeon was hesitant to lower my fold on the higher breast due to the risk of bottming out. Im considering seeking revision & wanting to get some other opinions on what's going on with me.

Brian K. Reedy, MD · Answer

Thanks for your question! You don't appear to have any deformities. Pre-operatively, your nipple and areola were lower on the breast mound than some patients. If you still bothered that they are too low, then a vertical mastopexy is the right answer. If you can live with them being a little bit lower on the breast mound, then my recommendation would be to do nothing. Good luck!

Daniel Barrett, MD · Answer

Dear Energetic902002,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Farbod Esmailian, MD · Answer

Judging by your preoperative photos, it does appear that you would have been a better candidate for a "bigger" lift than a donut, a vertical (lollipop).  At this point, although improvement is possible, it gets to be a bit more difficult.  I can not say what you would need just from the photos, an exam would be informative.  
However, what I can say is that there is some room for improvement.

Hope that helps.

Robert M. Wald, Jr., MD · Answer

Without examining you, it is difficult to give you a precise diagnosis. There is definite asymmetry which is present in all woman. The left implant is higher either due to capsular contracture or original placement. Releasing scar tissue on the higher breast will help lower the implant and achieve better symmetry. I would consult with your surgeon to discuss your options.

Gerald Minniti, MD, FACS · Answer

Just reading your text without the accompanying photos I knew you got the wrong operation. Donut/circumareolar/Benelli lifts don't lift the breast and barely lift the nipple areolar complex. That procedure is reserved for a breast shape that most patients would simply get no lift at all: a small and deflated breast with a *slightly* low nipple areolar complex that is NOT tethered by a lack of inframammary skin. Asymmetric breasts, larger breasts, and constricted breasts (yes, I know, there is plenty of plastic surgery literature written about its use with tubular or constricted breasts) are not ideal candidates for that procedure. You'll need a formal breast lift to give you what you want, an attractive breast mound and nipple position on the mound.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to breast revision surgery.  In your case, you probably needed a lollipop lift from the beginning.  Donut lifts rarely elevate the areola enough to make a meaningful change.  You should be able to have an excellent outcome with the talented surgeon.  Best wishes to you.

Connie Hiers, MD, FACS · Answer

You don't really have a snoopy appearance to your breasts, but your areolae are sitting a little low. A peri-areolar lift might work well for you.

Kenneth R. Francis, MD, FACS · Answer

Dear Energetic,
Sometimes perfect is the enemy of good.  From the photos it appears that you have a very good result.  The pre-op photos are not attached.  I'm not sure what you are looking for, but with pre-existing asymmetry, depending on the degree, it may not be realistic to expect perfection.

Hilton Becker, MD · Answer

It appears that the implant on the left has herniated out of the sub-muscular pocket.
This can be corrected by re -attaching  the muscle ,or replacing the implant above the muscle.

Richard P. Rand, MD, FACS (retired) · Answer

For what you described as a constricted starting point which is difficult, your surgeon gave you a nice result. This is not a waterfall or Snoopy deformity, all you need if anything is a little higher nipple position, ie more lift.

Is this snoopy deformity? What can be done? (Photo)

Answers (10)

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