Is it possible to fix my crease and increase size? (Photo)

Question

I have been told I will require revision to fix the crease that was attempted to be lowered on my right hand side. Ideally I wanted them to be slightly larger as well. Would it be possible to address the issue with the crease/symmetry as well as increase the size? Would fat grafting help? 167cm, 73kg, 245cc LHS 295cc RHS currently 2 months post op, original surgeon wanted to revise at 3 months, but I'm not comfortable having surgery with them again.

Chul Hwan Seul, MD, PhD · Answer

It seems possible to increase the size a little more. Double bubble deformity was created because the left implant came down. Close the excess space at the bottom and raise the position of the implant while fat grafting is done where the double line is formed, which will help correct it. It is recommended that revision surgery be performed at least 6 months after the first surgery.

Richard Baxter, MD · Answer

Most likely the crease you see is traction from the pectoral muscle where it was detached. You can tell by simply contracting the muscle and seeing if it pulls upward. If so, this is what is called animation deformity. The best correction for this IMO is to convert to the split muscle plane and re-attach the muscle behind the implant. Otherwise, going larger will only exaggerate the problem.

Daniel Barrett, MD · Answer

Dear Honest468593,
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

I would suggest not going much bigger since this fold, even if repaired, may not support heavier weight.
Fat grafting could be helpful to fill in the depression.  However, the fold may need to be raised to get better symmetry with your nipples.

Is it possible to fix my crease and increase size? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

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Is it possible to fix my crease and increase size? (Photo)

Answers (4)

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.