Breast revision on left breast with mesh?

Question

Hello I originally had a breast augmentation back in 2004 I was 19 at the time. Then I had a breast revision done again in 2022. I went from 505cc saline implant to 685 cc mentor boost implants. Well then left ones was place to high significantly. The Dr. went back in to reposition now on the fourth go around they are useing mesh but placing it higher with the implant still drop and fluff with mesh or will it always be set to high compared to the other?

Wayne I. Yamahata, MD · Answer

It has been my experience that there is a direct correlation between the size of the implants and the risks of a less favorable long-term outcome. With the problems you have had, my first suggestion would be, whatever you do, also replace your implants will smaller prostheses,

Daniel Barrett, MD · Answer

Dear Pioneering379460,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Daniel Butz, MD · Answer

I'm sorry to hear you've had so many revisions. These can vary in complexity and it's difficult to give a precise answer without photos or an exam. 
I do use mesh frequently in primary and revisions augmentations. Durasorb does stretch a little so it's more forgiving than some of the thicker meshes. However - I'd want to make sure you don't have a capsular contraction contributing to the high position. If they need to remove the capsule - the mesh can help provide support - but given the implant size then I'd might want to use a strong mesh like TIGR or Galaflex. 
Maybe consider a proper second opinion since you're not getting the results you're looking for. 
Hope that helps.

Gary M. Horndeski, MD · Answer

685 cc implants weigh 1 1/2 lbs. each.  The mesh that is used is self dissolving and will not be able to handle the weight.  After 3 operations, you need to consider smaller implants and possibly a breast lift.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Although you did not show photos, I suspect the problem is that your implants are much too large for your tissue and frame and your body will not support such heavy implants.  There just may be no way that implants drops because you are stretched thinly now.  You really need to consider going down in size.

Breast revision on left breast with mesh?

Answers (5)

Answer: Smaller implants

Answer: Smaller implants

Answer: Implants

Answer: Implants

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Breast revision on left breast with mesh?

Answers (5)

Answer: Smaller implants

Answer: Smaller implants

Answer: Implants

Answer: Implants

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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.