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 26, 2024
Answer: Breast revision A breast revision could address the changes in skin laxity over time that has caused your skin and breast tissue to hang off the implant. If the implants are firm or there are signs of capsular contraction that could be contributing as well but it's difficult o know from the photos alone.
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July 26, 2024
Answer: Breast revision A breast revision could address the changes in skin laxity over time that has caused your skin and breast tissue to hang off the implant. If the implants are firm or there are signs of capsular contraction that could be contributing as well but it's difficult o know from the photos alone.
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Answer: Time for revision is up to you. Assuming you get regular primary care breast surveillance and all is fine, these are typically just cosmetic concerns. Whether or not a second surgery is for you or not depends on how you like the current appearance, which is in line for the surgery and timeline you describe. A second procedure can address your concerns with the residual lower pole tissue. If you choose to have surgery and like having implants, I would change them given it's been 11 years.
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Answer: Time for revision is up to you. Assuming you get regular primary care breast surveillance and all is fine, these are typically just cosmetic concerns. Whether or not a second surgery is for you or not depends on how you like the current appearance, which is in line for the surgery and timeline you describe. A second procedure can address your concerns with the residual lower pole tissue. If you choose to have surgery and like having implants, I would change them given it's been 11 years.
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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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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.
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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.
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June 24, 2025
Answer: Breast revision This is an excellent question. If you do not like the way your breasts look and how the implant is looking, it may be a good idea to exchange implants. If you have not checked to see if your implants are ruptured, it is a good start to check with a high resolution ultrasound that can be done in the office (some plastic surgeons have that in their clinic). Regardless of the rupture status, if you desire to be smaller, a smaller implant and possibly a lift could be a suitable option for you. If you do not want to have implants anymore but still want to maintain some volume, a fat transfer at the time time of implant removal and lift is an option. Hope this helps!
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June 24, 2025
Answer: Breast revision This is an excellent question. If you do not like the way your breasts look and how the implant is looking, it may be a good idea to exchange implants. If you have not checked to see if your implants are ruptured, it is a good start to check with a high resolution ultrasound that can be done in the office (some plastic surgeons have that in their clinic). Regardless of the rupture status, if you desire to be smaller, a smaller implant and possibly a lift could be a suitable option for you. If you do not want to have implants anymore but still want to maintain some volume, a fat transfer at the time time of implant removal and lift is an option. Hope this helps!
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