27 y/o F Nil children. 56kg 165cm low set nipples and wide chest. 6 months post BA (sub muscular 345cc mentor CPG implants high projection) - internal bra and fat grafting. A/B cup to DD. Implants are too big and saggy. Received two different opinions on Breast Aug revision. Surgeon A (Original Surgeon) - Revision BA Motiva CPG (Tear drop) smaller size ~ 270-300 CC with fat grafting. Surgeon B (Best in Australia) - Revision BA with mastopexy (Motiva Round implants 270-300 CC)nil fatgraft
October 2, 2023
Answer: Breast augmentation issues I think the biggest problem is that the implant size was large for you from the first procedure. Your breast naturally sit wide and low on your chest and are divergent. Revision surgery isn’t going to correct that. It’s a little difficult to tell if you’ve bottomed out with the current implants, or if they are simply just too big. Decreasing the implants, maintaining a wide diameter, but using lower profile is probably what I would lean towards. Your nipple position is good, and therefore, in mastopexy does not seem warranted. It’s really important to discuss somebody’s candidacy for breast augmentation during the primary consultation. Patients who have breast that are divergent are going to amplify the appearance once augmented. A lot of individuals don’t realize their breast position, or which angle their nipples are pointed until after augmented, and at that point, it becomes glaringly obvious because the breast is now triple in size. A thorough plastic surgeon should show before and after pictures that they picked the same type of anatomic variation and before and after pictures, so patients have a clear understanding of what results are likely to look like. Being famous and being talented are often two different things when it comes to plastic surgery skills. What makes you think that provider B is the best in Australia? Some of the most talented plastic surgeons I’ve ever had a minimal online presence one of them didn’t even have a website. Bing talented at self promotion I’m actually surgery skill are often quite different. I need a ride provider is often much more difficult than most people realize. Don’t overlook local talent that may be under represented on social media or in review numbers. The best way to find the right provider to have a lot of consultations. It’s time consuming and most patients look for an easier more convenient approach relying on their cell phone or computer. Generally speaking patience, don’t do it a particularly good job at provider selection. Ask your plastic surgeon who he would send their sister to? They say they would operate on their sister then you’re with the wrong doctor. I think the most important change is to get into smaller implants, which should’ve happened during the primary procedure if you had a solid understanding of desired outcome. I think all other issues of discontent, likely to still be there. Some people don’t have the candidacy for a perfect augmentation. It’s really important for surgeons to go over all of these issues thoroughly primary consultation. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful
October 2, 2023
Answer: Breast augmentation issues I think the biggest problem is that the implant size was large for you from the first procedure. Your breast naturally sit wide and low on your chest and are divergent. Revision surgery isn’t going to correct that. It’s a little difficult to tell if you’ve bottomed out with the current implants, or if they are simply just too big. Decreasing the implants, maintaining a wide diameter, but using lower profile is probably what I would lean towards. Your nipple position is good, and therefore, in mastopexy does not seem warranted. It’s really important to discuss somebody’s candidacy for breast augmentation during the primary consultation. Patients who have breast that are divergent are going to amplify the appearance once augmented. A lot of individuals don’t realize their breast position, or which angle their nipples are pointed until after augmented, and at that point, it becomes glaringly obvious because the breast is now triple in size. A thorough plastic surgeon should show before and after pictures that they picked the same type of anatomic variation and before and after pictures, so patients have a clear understanding of what results are likely to look like. Being famous and being talented are often two different things when it comes to plastic surgery skills. What makes you think that provider B is the best in Australia? Some of the most talented plastic surgeons I’ve ever had a minimal online presence one of them didn’t even have a website. Bing talented at self promotion I’m actually surgery skill are often quite different. I need a ride provider is often much more difficult than most people realize. Don’t overlook local talent that may be under represented on social media or in review numbers. The best way to find the right provider to have a lot of consultations. It’s time consuming and most patients look for an easier more convenient approach relying on their cell phone or computer. Generally speaking patience, don’t do it a particularly good job at provider selection. Ask your plastic surgeon who he would send their sister to? They say they would operate on their sister then you’re with the wrong doctor. I think the most important change is to get into smaller implants, which should’ve happened during the primary procedure if you had a solid understanding of desired outcome. I think all other issues of discontent, likely to still be there. Some people don’t have the candidacy for a perfect augmentation. It’s really important for surgeons to go over all of these issues thoroughly primary consultation. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful