9 month PO considering revision, 400CC's & 475CC's high profile - will smaller implant give me what I’m looking for? (Photos)

Question

5’2, 125 lbs (I gained weight after my surgeries. Usually I sit around 115-120). Had tuberous tissue aplasia. Had fat transfer followed by an infection which caused an asymmetry. Had breast augmentation with silicone: left 400CC’s high profile, right 475CC’s high profile. the left breast seems misshapen from frontal and side views . Questions: Will a smaller implant exchange give me what I’m looking for? Round, beautiful shaped proportional breasts? How many cc’s and what profile?

Wess Cohen, MD · Answer

Thank you for your question. Your implants are too large for your body and the footprint of your breasts. In addition the high profile implant (possibly also highly cohesive) Is giving you too much volume to the upper pole of your breast. You would benefit from a smaller implant, probably around 300 cc with moderate cohesivity and a less high profile (different names for different manufacturers). These changes should give you a more natural, teardrop appearance. Good luck.

Daniel Barrett, MD · Answer

Dear Montreal21,
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

Your current implants are too large, especially the 475 cc implant, for your frame, and I do recommend going smaller. You might do well with 300-350 cc's and have much less of the ball-on-your-chest look.

Kenneth R. Francis, MD, FACS · Answer

Dear Montreal21,
It is difficult to match the description and history to the photos.  You show 2 front views, one of which says "now" and one of which just says "front."  Also, you show 2 side views, both of which say "right," but they appear to be different sides.  If the "front now" photo is actually you now, your frontal appearance is pretty darn good.  When you are starting with such significant aplasia and asymmetry, it is not reasonable to ever expect perfectly symmetric breasts.  A candid discussion with your plastic surgeon is probably in order.  Good luck!

9 month PO considering revision, 400CC's & 475CC's high profile - will smaller implant give me what I’m looking for? (Photos)

Answers (4)

Answer: Breast augmentation and fat transfer

Answer: Breast augmentation and fat transfer

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.

9 month PO considering revision, 400CC's & 475CC's high profile - will smaller implant give me what I’m looking for? (Photos)

Answers (4)

Answer: Breast augmentation and fat transfer

Answer: Breast augmentation and fat transfer

Browse related questions

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.