Breast Augmentation Revision after 20 years - Still uneven. Another revision or just have them removed? (Photos)

I had my initial breast augmentation surgery in 1996 and was very unhappy with the results. After 20 years, I finally decided I needed to feel better about myself and have them replaced. It has been 6 months since the surgery (FEB 2016). I feel that there is little chance for more improvement and that the results are set. I am terribly disappointed. I visit my doctor next week, and would appreciate any feedback.

Doctor Answers 5

Breast Implant Revisions - Concern of Asymmetry

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Breast augmentation plastic surgery is performed to enhance the breast size and shape due to congenital abnormalities, a lack of development, changes or asymmetries following aging, weight loss, and/or pregnancy. Now, there is one other thing that you may have considered when asking your surgeon about having your replacement and revision complete. For women with moderate to severe breast sag or other asymmetry, a breast lift (mastopexy) may be recommended to ensure the best result and longest lasting result. Failing to have a breast lift when necessary will only lead to a less than ideal result leaving the patient unhappy and needing a revision surgery. A larger breast implant can help lift the breast, but the low hanging breast tissue will still be present causing a disconnect between the implant and breast tissue located at the bottom of the breast.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Breast asymmetries

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Dear Holly,
Although your breasts remain visibly asymmetric, there is improvement over your prior appearance (unless your body is slightly turned in the first photo).  Your best course of action is to have a frank discussion with your plastic surgeon expressing your dissatisfaction/frustration.  He or she may offer some other alternatives, or additional procedures that can be done to further symmetrize your breasts.  Only he/she knows exactly what work has been done and if there is room for further improvement.  Good luck!

Set goals for second revision breast implant option

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Given the pre-existing asymmetry, you will need to accept that they will never be perfectly symmetrical, as no breasts are. You may consider nipple repositioning, possibly with a Benelli lift. Perhaps downsize the left implant and tighten the pocket. It would be helpful to know it there is any animation distortion on that side.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

Breast implant displacement concerns?

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Although I can appreciate significant improvement after the revisionary breast surgery, I can also understand your concerns:  a significant degree of breast asymmetry and breast implant malposition still remains.  Ultimately, whether to undergo additional  revisionary breast surgery or have the breast implants removed will be very personal decision that only you can make after careful consideration of pros/cons of each decision.

 If I were seeing you in consultation to discuss revisionary breast surgery, additional capsulorapphy (adjustment of the breast implant capsules) would likely be very beneficial. Best wishes.

Breast revision?

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I think that you have to be very specific about what you are looking for. Your breasts started out very asymmetric to begin with.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.