5’2, 28F, 3 BA surgeries: should I have a lift and move the implants to subglandular for a more natural look? (photos)

Question

March 2021: breast fat transfer, infection in right breast causing asymmetry. December 2021: under muscle BA, high profile mentor, 400,475 December 2022: revision to go smaller under the muscle BA, mod profile xtra plus mentor 325, 375 left bigger breast is saggy and right has a hump appearance. Been to three doctors with all different opinions. One wants to change to subglandular, repair muscles, lift both and lipo the bigger one. What would u do in my case? broke & need long term Soln

Gary M. Horndeski, MD · Answer

You have a classic case of waterfall deformity.  Your breast implants are higher on the chest wall and the breast tissue is falling down off of it.  One alternative is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Another alternative would be exchanging the implants for smaller ones and release the pocket inferiorly.  The problem with inferior pocket release is the breast implants may bottom out  and you may have a problem with a double bubble.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

The lower side needs to be lifted with a lollipop type lift. Your best chance for symmetry would be to do the same to the other breast.

Connie Hiers, MD, FACS · Answer

I would suggest doing the lift on the both breasts to raise the nipples and decreasing the implant size on the left.  If you are happy with the size of the right, then keep that implant. I would keep both implants behind the muscle for better long-term support.

Kenneth R. Francis, MD, FACS · Answer

Dear Montreal21,
There is obviously some missing information in your very complicated breast augmentation history that is best obtained in person.  The single photo is also inadequate to accurately assess your results.  The one breast definitely needs a breast lift.  An option would be to remove both implants and let things heal completely to see what you've got left to work with.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Using excessively large implants causes increased, secondary side effects undesirable outcomes, and increases complication rates. It’s always better to stay with modest size implants, and that would be one good place to start. It looks like your left breast needs a lift.
A quality assessment requires quality information. I suggest relying on in person consultations to get a more accurate assessment and better understanding of treatment options.
For a second opinion, consultations, I recommend patients come prepared to bring with them complete sets of before, and after pictures for all previous procedures and operative reports for all previous operations.
Best,
Mats Hagstrom, MD

5’2, 28F, 3 BA surgeries: should I have a lift and move the implants to subglandular for a more natural look? (photos)

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5’2, 28F, 3 BA surgeries: should I have a lift and move the implants to subglandular for a more natural look? (photos)

Answers (5)

Answer: Breast augmentation revision number 3

Answer: Breast augmentation revision number 3

Answer: Complications after breast surgery.

Answer: Complications after breast surgery.

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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.