I had a breast lift/reduction revision and added 175cc implants high profile for the aesthetics. My first procedure which was just a lift, bottomed out and had horrible wide scarring. My surgeon redid the surgery 19 months later and now my nipples are high again because I’m starting to bottom out. They’re extremely veiny with broken capillaries around the incision. Very red/translucent. I have no cleavage and I find it pointless to have a foreign object in my body. Is high profile possible?
May 30, 2023
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. One of the most common causes for recurrent bottoming out is implants that are placed on top of the muscle-subglandular position or leaving too much tissue on the bottom of the breast. Either way, you should be able to achieve upper pole fullness by the placing the implants under the muscle, performing an internal bra procedure-capsulorrhaphy, and/or a revision breast lift-mastopexy as well as removal of inferior pole breast tissue. Many years ago, I described a procedure termed "Reductive Augmentation" which includes the above procedures. You are an excellent candidate for this. Best wishes to you.
Helpful
May 30, 2023
Answer: Breast revision Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. One of the most common causes for recurrent bottoming out is implants that are placed on top of the muscle-subglandular position or leaving too much tissue on the bottom of the breast. Either way, you should be able to achieve upper pole fullness by the placing the implants under the muscle, performing an internal bra procedure-capsulorrhaphy, and/or a revision breast lift-mastopexy as well as removal of inferior pole breast tissue. Many years ago, I described a procedure termed "Reductive Augmentation" which includes the above procedures. You are an excellent candidate for this. Best wishes to you.
Helpful
May 30, 2023
Answer: Breast revision Thank you for your question. You are correct that your breasts are bottoming out and making your nipples too high. The correction for this is to decrease the amount of skin along the nipple to IMF. Additionally, as you have a history of bottoming out, placing an internal bra will provide the necessary support that you need. Large implants that are pulling the skin down can increase the veins showing through your skin. You may consider downsizing your implants. Good luck.
Helpful
May 30, 2023
Answer: Breast revision Thank you for your question. You are correct that your breasts are bottoming out and making your nipples too high. The correction for this is to decrease the amount of skin along the nipple to IMF. Additionally, as you have a history of bottoming out, placing an internal bra will provide the necessary support that you need. Large implants that are pulling the skin down can increase the veins showing through your skin. You may consider downsizing your implants. Good luck.
Helpful
