6 mths PO - what can be done for uneven cleavage after bilateral submuscular breast aug & donut lift? (Photos)

Question

One breast was smaller & had minimal lower pole volume. PS mentioned they didnt want to lower the fold much due to risk of bottoming out. I'm happy with the fullness, but it seems like we shouldve lowered that breast fold, as one breast is has more volume at top. What can be done? Is it possible to lower the fold of the higher, smaller breast w/o redoing the whole operation? Will lowering it cause bottoming out? Attached before/after pic from 3-mth followup + my own pics taken recently.

Richard G. Schwartz, MD · Answer

Your preop photos show a variant of Tuberous Breast deformity in at least the right breast, with lack of skin and fullness below the nipple.  Considering this, you have had a nice result from the augment and donut lift.  However, your right breast does show more fulness superiorly and the lower breast border is just slightly higher than the left.   The only solution I know about is to surgically lower the inframammary fold a little so the implant drift downward.   Occasionally, ultrasound treatments have relaxed the scar tissue surrounding the implant, which can reduce superior rounded fullness if that is due to any tightening of scar tissue.

Narayanan Nair, MD, FACS · Answer

It looks like the asymmetry to begin with was then transferred to the final result. I would say either changing out the implant for a high profile or adding fat grafts to the breast would be the best bet to try and create symmetry. I would also talk your board-certified plastic surgeon about your concerns.

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, 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

Like your surgeon, I am not a big fan of lowering the fold because some support may be lost and you are at risk of bottoming out with time. However, sometimes it should be done and extra support can be added. Please discuss this with your surgeon.

6 mths PO - what can be done for uneven cleavage after bilateral submuscular breast aug & donut lift? (Photos)

Answers (4)

Answer: Fold

Answer: Fold

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

6 mths PO - what can be done for uneven cleavage after bilateral submuscular breast aug & donut lift? (Photos)

Answers (4)

Answer: Fold

Answer: Fold

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.