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?
Answer: Revision I'm sorry to hear of the issues you've been having. It does appear from your photos that you are bottoming out. You may be a candidate for mesh support to keep this from happening again. I've included a video on this that I hope you find helpful.
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Answer: Revision I'm sorry to hear of the issues you've been having. It does appear from your photos that you are bottoming out. You may be a candidate for mesh support to keep this from happening again. I've included a video on this that I hope you find helpful.
Helpful 1 person found this helpful
May 30, 2023
Answer: Revision Breast Surgery What I'm hearing is that you are unhappy with is your bottom heavy breast and would like more upper pole fullness. Implants can be the cause of bottoming out, but breast tissue on it's own can do the same. One thing I would have predicted is that your choice of implant did nothing for the aesthetics except increase volume where you didn't want it and add weight to increase the risk of bottoming out. You are a perfect example of why high profile does not equal upper pole fullness like so many people, including some plastic surgeons, believe. There are a lot of details that need to be sorted out, but some of the things to be evaluated in a consultation are how much breast tissue you have and where are your implants located (above or below the muscle). If the goal now is to optimize breast shape, then an implant would be chosen that would be moderate or low profile to maximize implant diameter for its volume, because implant diameter is what gives upper pole fullness, and a 175 cc HP implant is very narrow and over projecting. The use of a resorbable mesh would also be important to stabilize the implant. If you have an abundance of breast tissue, some of it would be reduced to alleviate weight and the potential for glandular drop out. Go get a few second opinions from breast surgery experts.
Helpful 1 person found this helpful
May 30, 2023
Answer: Revision Breast Surgery What I'm hearing is that you are unhappy with is your bottom heavy breast and would like more upper pole fullness. Implants can be the cause of bottoming out, but breast tissue on it's own can do the same. One thing I would have predicted is that your choice of implant did nothing for the aesthetics except increase volume where you didn't want it and add weight to increase the risk of bottoming out. You are a perfect example of why high profile does not equal upper pole fullness like so many people, including some plastic surgeons, believe. There are a lot of details that need to be sorted out, but some of the things to be evaluated in a consultation are how much breast tissue you have and where are your implants located (above or below the muscle). If the goal now is to optimize breast shape, then an implant would be chosen that would be moderate or low profile to maximize implant diameter for its volume, because implant diameter is what gives upper pole fullness, and a 175 cc HP implant is very narrow and over projecting. The use of a resorbable mesh would also be important to stabilize the implant. If you have an abundance of breast tissue, some of it would be reduced to alleviate weight and the potential for glandular drop out. Go get a few second opinions from breast surgery experts.
Helpful 1 person found this helpful
May 31, 2023
Answer: Revision surgery Dear MeganW785,
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May 31, 2023
Answer: Revision surgery Dear MeganW785,
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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.
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