Are my Results "Botched"? 450 cc, Gel, Under Muscle. (photo)

I had 450cc gel implants placed under the muscle 12 days ago. My left implant sits a whole inch higher than the right. They are still dropping, but I'm having trouble being patient. Why would this happen? I think my PS made the pocket on my left side too narrow because the implant doesn't want to go down even when I massage it. I started with symmetrical 36A cups. The 450cc brought me to an ugly result, too small. If I need a revision will it be difficult to go to place larger implants?

Doctor Answers 10

Best to Consult with a Board Certified Plastic Surgery About Your Options

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Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation. It's best to consult with a board-certified plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast augmentation. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. 

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


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Your implants definitely look too high, and certaily worse on the one side you are worried about.  If the muscle was releaseed adequatley, they should come down as the tissues relax. Give it some time and follow closely with your doctor.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

You need smaller implants

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I do not have your before pictures but based on the after pictures you have tubular breast. Your lower breast pole is constricted and was not released . Your implants are too big for your breast tissue . You should discuss your concerns with your surgeon. Bigger implants will not open your lower pole and make the problem even worse.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 152 reviews

Early breast asymmetry after breast augmentation

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It is common for breast implants to sit "high" for several months after breast augmentation. As the implants drop into position, the shape improves. While this dropping can occur at different rates a between the right and left breast, they usually look relatively similar. You show a picture in which there is significant symmetry between the two breasts. I agree that it is very very early after surgery (only 12 days), but you have reason to be slightly concerned. I suspect that there has been uneven pocket creation during the surgery. The asymmetry will likely improve over the next few months, but I would be very surprised if you are happy with the final result. I think a revision surgery is in your future but you will need to wait 6 -9 months to allow adequate healing before having another surgery.  A Velcro strap may help but again, I think this is more than simply "uneven settling".  Sorry for the bad news.

Breast Implants

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Based on your pictures, your implants look too high.  You may see some improvement as the swelling goes down and the tissues settle - you are early post op.  However, you may likely need a revision surgery to release the inferior pocket to allow the implants to settle in a natural position.  


Good Luck.

Breast augmentation gone wrong

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True, 12 days is early, but my bet is that the pockets are not right and the implant will not 'drop' into the breast. There is asymmetry of the skin envelope which may have posed a challenge to your surgeon, though a revision at a later time may be in your future. You can have a larger implant after there has been some give and relaxation of the breast, and this may be the silver lining to your cloud.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

12 days postop

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While your implants are aysmmetric now, they may even up with more time.  You certainly don't want to consider revision yet.  Your implants will probably also appear larger as your pectoral muscles relax.  Some of the excess fullness in the right breast could be fluid around the implant that will reabsorb over time.  Be patient.

12 Days Post-op Too Early To Assess Results

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Since you are only 12 days out from your breast augmentation, it is way too early to see the final result.  I have my patients wear a Velcro strap over the top of the breasts to encourage downward migration of the implants.  You might check with your surgeon to see if he/she feels this would be appropriate for you to try.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Breast Augmentation Results?

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Thank you for the question and pictures.

At 12 days postop,  is much too early to judge the final results of your surgery. There are many variables involved including swelling/inflammation  as well as breast implant position changes  etc.

I  would suggest that you allow for several months to pass before evaluating the results of surgery. In the meantime, continue follow-up with your plastic surgeon.

Best wishes.

Monitor changes

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At this time it's still too  early to tell. You should wait about 4 months before assessing your results. However, you may have a problem that needs revision surgery, as there is quite a bit of asymmetry at the moment and your right breast seems to be tubular. A before pic would help.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.