My Breast Augmentation Result is Horrible! Feel Empty and Breasts Sagging? (photo)

It sounds like you would prefer to get a breast lift now to get better shape, no loose skin, better symmetry, and eve make your nipples smaller. You can still get a lift. No bridges were burned. Good luck!

It sounds like your doctor thought you were borderline for needing a breast lift to begin with.  I would discuss your concerns with your plastic surgeon.  You have not burned any bridges here.  You can still do a breast lift operation to center your breast tissue over your implants.  In fact, many doctors prefer to do breast lifts and breast augmentations as two separate procedures rather than during a single operation. 

Thank you for your questions and picture.  I am sorry to hear that you have had a poor result after your surgery.  Based on your one picture, it does appear that you would have benefited from a lift at the time of the augmentation.  Unfortunately, there may not have been clear communication between you and your surgeon at the initial visit.  I think it would be wise to return to him and express clearly what you do not like about the appearance of your breasts.  Hopefully, you and he can come together on a reasonable plan.  Good luck!

It appears as if you really need a breast lift more than anything. I think that this is a case of a breakdown in communication and the appropriate setting of expectations. You should make an appointment and express your concerns in an open way. You are not out of luck, but almost certainly will need another procedure (breast lift) in order to get the shape that you want.

Hard to tell without oblique and side views what is really going on, but surgeons must, in general, be conservative.  Breast enhancement procedures are often a serial affair.  Breast size and shape change over time in response to hormonal influence, pregnancy, weight fluctuation, and changes in skin elasticity.  The response of any individual to surgery and the implant-tissue interaction cannot be precisely anticipated, just estimated.  Capsular contracture is an unpredictable event, and substantially changes the result.

If you are not pleased with your situation, present these complaints to your surgeon, and develop a rational plan to get what you want.

  If you want more volume, the implants can be removed and new larger implants can be placed.  You will like the shape and contours of your breasts much better if you have a vertical or full breast lift at the same time.  Talk with your plastic surgeon as he or she will likely give you a discount over going somewhere else.  If this does not work for you, find the plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.   Kenneth Hughes, MD Los Angeles, CA

I'm sorry you are disappointed but it seems like there was a breakdown in communication.  When you are in the gray zone, you should have been forewarned that it wouldn't be perky but certainly acceptable to many patients.  When your areola is that large, did you tell your surgeon you wanted it smaller?  As for the asymmetry in the implant position, that is something you should discuss with your surgeon and hopefully he/she has a good revision policy to allow you to better position them.  If there are other expectations, you must make them known to your surgeon BEFORE anymore procedures.

I can understand your disappointment, however, in borderline cases, many a times, the doctors & the patients prefer to exercise the option with minimal scars (i.e implants only).

Don't be disheartened. Talk to your doctor and I am sure he will be able to address your concerns with a peri areolar mastopexy. This would help to center the breast tissue over the implants, achieve symmetry and also reduce the size of the areolas.

All the best!

Thank you for the picture.  I appears that in addition to the implant you needed a small periareolar lift.  This would decrease the size of your areola as well as lift the position of the nipple to even them out.  It is possible to do this as a second operation.  I hope this helps you.

Kindest regards

Neil J. Zemmel

First thing is that we don't know what you looked like prior to surgery. Secondly, your doctor can always go back and do a lift on top of the implants and at the same time reduce the size of the areolas. The good news is that you can get to a more symmetrical place with smaller areolas.