Breast replacement with 700cc 11 months ago, recent large indentation inner boob (Photos)

Question

Hi what is happening and what can be done? Will the implant go back in place? I can feel and see the late indentation on inner boob. I had saline under the muscle 375 cc for about 20 years with no issues and went to 700cc silicone under the muscle. I believed he used the same pocket. I'm not exactly sure on the ccs but it's around those numbers.

Daniel Barrett, MD · Answer

Dear jaykay1,
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

Gianfranco Frojo, MD · Answer

It appears that the implant is "sliding out" from underneath the border of the muscle. Sometimes this can happen if the implant is too large/heavy, if the muscle is over released, or if the muscle/fascia is not properly closed/reconstructed. I would recommend placing a piece of Galaflex and bolstering the inferior pole on both sides. This will help create a longer lasting result.

Dana Goldberg, MD · Answer

You are experiencing a little bottoming out of one of your implants. The contour you see is probably a transition between where there was stable scar tissue caosule vs where cuts were made to allow for the larger implant. This might be improved with surgery, but it might not.

Connie Hiers, MD, FACS · Answer

You are starting to bottom out from such a heavy implant. do wear a good supporting bra with underwire, especially when exercising, If it gets worse, go back to your surgeon. You may have to go down in size.

Darryl J. Blinski, MD · Answer

Based on your post of photos, I would try micro or macro crafting under local anesthesia using ultrasound guided injection. Fee $3000. Best virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.
Ideally, if you’ve had more than one operation, we should see before and after pictures of each of your previous procedures.
If you don’t have a set of proper before, and after pictures, then ask your surgeon to forward the pictures they took.
 There could be a number of reasons why your breast looks the way it does.
Most likely it has to do with remaining tissue that’s part of your capsule from the old smaller implant.
Using excessively large implants will always increase the chance of undesirable side effects, complications and need for revision surgery.
Without having more information, we can’t really give you any quality assessment.
If you want proper second opinion consultation, then schedule that as an in person consultation with other plastic surgeons in your community.
 For second opinion consultations come prepared bringing with you a complete set of proper before and after pictures and copies of your previous operative reports.
These are all available from your previous provider if you request them.
The new surgeon needs to understand exactly what was done during surgery in order to understand your outcome.
This requires them having access to the operative report and as I mentioned proper before and after pictures.
Either follow up with your provider or schedule in person second opinion consultations with plastic surgeons in your community.
I generally recommend people avoid virtual consultations whenever possible.
Your situation is far too complex to give you a quality recommendation based on the limited information provided.The choice of implants may have a part in problems with your outcome. 
 Good luck,
Mats Hagstrom MD

Breast replacement with 700cc 11 months ago, recent large indentation inner boob (Photos)

Answers (6)

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