I had a breast augmentation and lift 11 years ago. Wondering if it's time for a revision. I have more fullness at the top than I used to. Also my left breast has a sort of dent that's gotten worse over the years on the bottom side. Is this just a cosmetic issue? How do you know when it's time for a revision? I would probably go a bit smaller next time to slow down the gravity effect in the future. Is this something I should have looked at? I am 57.
July 3, 2025
Answer: Breast Implant Revision Thank you for your question. It's a good time to have your breasts evaluated for possible revision. The increased upper pole fullness and denting in the lower part of the left breast suggest implant malposition, capsular contracture, or tissue thinning. These issues are common with aging implants and changes in breast tissue support. While it may be partly cosmetic, it could also indicate changes in the implant pocket or capsule. Revision may involve downsizing the implants, adjusting the implant pocket, possibly repeating the lift, and addressing any capsular contracture or thinning. Going smaller, as you mentioned, can reduce long-term stress on the tissues and improve the longevity of your result. An in-person examination and imaging will determine if a revision is appropriate and identify the components that need to be addressed.
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July 3, 2025
Answer: Breast Implant Revision Thank you for your question. It's a good time to have your breasts evaluated for possible revision. The increased upper pole fullness and denting in the lower part of the left breast suggest implant malposition, capsular contracture, or tissue thinning. These issues are common with aging implants and changes in breast tissue support. While it may be partly cosmetic, it could also indicate changes in the implant pocket or capsule. Revision may involve downsizing the implants, adjusting the implant pocket, possibly repeating the lift, and addressing any capsular contracture or thinning. Going smaller, as you mentioned, can reduce long-term stress on the tissues and improve the longevity of your result. An in-person examination and imaging will determine if a revision is appropriate and identify the components that need to be addressed.
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June 26, 2025
Answer: 11 years stretch Based off you your photos - 11 years with implants will have changes to your anatomy combating against gravity and skin stretch / tissue atrophy. It looks as if you might even have some capsules around both implants that can be released or resected to allow for the upper poles to be less sharply projected and be more gradual. The lower poles need to be tightened with redoing the mastopexy (breast lift) and this would be a great time to decide if you want to decrease in implants, increase or even change the profile of the implant (and with your 11 year old implant - its time for an upgrade to the newer silicone gel implants that are out on the market). And because you've had a mastopexy augmentation already once, second time is usually easier when it comes to recovery and what to expect (and the scar is already there - so no new scars needed). Of course there are still the same risks as before so make sure you review those with the surgeon as well as the surgical plan and possible outcomes to be ready.
Helpful
June 26, 2025
Answer: 11 years stretch Based off you your photos - 11 years with implants will have changes to your anatomy combating against gravity and skin stretch / tissue atrophy. It looks as if you might even have some capsules around both implants that can be released or resected to allow for the upper poles to be less sharply projected and be more gradual. The lower poles need to be tightened with redoing the mastopexy (breast lift) and this would be a great time to decide if you want to decrease in implants, increase or even change the profile of the implant (and with your 11 year old implant - its time for an upgrade to the newer silicone gel implants that are out on the market). And because you've had a mastopexy augmentation already once, second time is usually easier when it comes to recovery and what to expect (and the scar is already there - so no new scars needed). Of course there are still the same risks as before so make sure you review those with the surgeon as well as the surgical plan and possible outcomes to be ready.
Helpful
