2nd revision - How to improve shape and center areolas (photo)

Question

Hi Doctors, I started with a short areola to fold distance and slightly tuberous breast. 1y ago I had 250cc Moderate HSC+ implants placed dual plane thru the nipple. They never dropped. 4mo ago I had a revision w 305cc Mod+ HSC implants with donut lift and areola reduction. I’m worried my implants haven’t dropped yet and my fold seems to be the same if not a bit more round? I’ve included my wish pic above. My goal is more centered areola and prettier shape. Thank you for any advice

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. In order to have a more centered, nipple-areolar complex over an implant, your fold needs to be lowered. Therefore, a larger implant should be chosen versus your natural breast anatomy.

Best wishes

Earl Stephenson Jr, MD, DDS, MBA

ESJ Aesthetics

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question. 
It is difficult to provide recommendations without a full physical examination. Based on the  photographs provided ( which I assume were taken after your revision), it does appear that you have very tight lower
 poles with high inframmary folds. I would not pursue any more surgery for at least another 2 months to allow for additional implant settling. Correction may require more aggressive glandular scoring, lowering of the folds and a higher level dual plane. For best results always consult with a plastic surgeon certified by the American Board of Plastic Surgery with extensive experience in revisional breast surgery. I hope this helps. Good luck.

Wayne I. Yamahata, MD · Answer

To achieve your goals, i.e. to have your nipples centered on the breast mounds will require that the nipples be moved through a more standard type of lift. This will provide an increase in the distance between your nipples and the inframammary folds.

Daniel Barrett, MD · Answer

Dear Gregarious236767,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gianfranco Frojo, MD · Answer

I would wait a full year prior to determining if the final position/settling has occurred. Sometimes it can take quite a while for proper tissue relaxation.

2nd revision - How to improve shape and center areolas (photo)

Answers (8)

Answer: Revision surgery

Answer: Revision surgery

Answer: Breasts

Answer: Breasts

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Everything you need to know about Breast Implant Revision

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2nd revision - How to improve shape and center areolas (photo)

Answers (8)

Answer: Revision surgery

Answer: Revision surgery

Answer: Breasts

Answer: Breasts

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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.