What now after botched and 2 revisions?

Question

Rev 1 expired seri silk mesh/SRX implants botched. Rev 2 remove mesh/add strattice/internal bra/SSX implants. Implants move strange/rotate strange and visible as they move. Rev 3 most strattice/benelli lift/xtra hp implants/more internal sutures. R implant keeps flipping so flat valve area is under areola not against chest wall. Please help me figure out what needs to be done. Rev 4 coming soon. Skilled well known surgeon has done rev 2 & 3.

Richard Baxter, MD · Answer

For all you have been through, your results are really quite good except for the flipped implant. One thing to consider is that higher profile implants are more spherical, which could make it easier for them to flip and rotate. Because moderate profile implants are wider and less projected, they could be less likely to flip but this may mean going smaller. I think pocket revisions alone are less likely to be successful.

Donald R. Revis Jr, MD · Answer

Good afternoon,
I use the Original Internal Bra, my strong permanent internal suturing technique to correct situations like yours. I first developed it over 20 years ago, and today it is the most common revision procedure I perform, 5-6 times a week- it works and it lasts. Your surgeon hasn't done a bad job, but how many times is it going to take for them to get it right?

Daniel Barrett, MD · Answer

Dear heymom3,
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

You are not "botched", but are challenging I am sure. I would leave the higher breast alone and consider tightening the lower pocket of the lower breast only.

What now after botched and 2 revisions?

Answers (4)

Answer: Revision

Answer: Revision

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Everything you need to know about Breast Implant Revision

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What now after botched and 2 revisions?

Answers (4)

Answer: Revision

Answer: Revision

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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.