Can this cleavage issue be fixed? (photos)
Doctor Answers 10
Wrong implants choice
Not only that, the pocket for the implants is insufficient and at this moment the prostheses are "intraglandular", which means fully wrapped within breast tissue above the dome of the implant (the rule) and weirdly underneath them too behind the base, with no adhesion or contact between implant and ribcage; this makes the implant a gravitational burden on your breast pouch which is pulling down creating a droopiness of iatrogenic effect, one sign of this is the webbed skin.
You need full revision, the sooner the better to avoid the unstoppable progression of your droopiness (in the near future you might be a case for mastopexy and require massive scars to fix your issue), using latest generation anatomical shaped implants, cohesive gel filled and macrotextured, of a better chosen base width, and eventually a capsulorraphy at the bottom and sides to bring the skin back to the chest and redefine the new breast pocket.
Not only a minor tweak is unsuitable for you, I must tell you that fixing your problem with harmony and brilliant results is one of the most difficult procedures in revision surgery of the breast, and few surgeons master this technique. Do research well experience. Do not accept a breast lift, which will be the suggested solution by 90% of surgeons you consult with, go ONLY for the before mentioned plan: new implants made to fit your cage and capsulorraphy to get rid of the excess of breast pouch created by the gravitational pull of the implants.
Note: you don't suffer bottoming out, since bottoming out is when the implants slide downwards to the tummy through a channel made underneath the ligamenst of the submammary fold (normally due to poor adhesion of implants when they are smooth or microtextured, or when the patient misbehaves or is not instructed to keep 4 weeks of absolute immobility in the postop); your implants are not sliding underneath the submammary fold but above it, the submammary fold ligaments are totally competent in your case and your prosthesis "falls" down the "cliff" pulling down the breast (in bottoming out the breast is not pulled down or affected, to the contrary, remains strictly in place since it si the implant moving down dissociated from the breast.
Can this cleavage issue be fixed?
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Breast asymmetry after Breast Augmentation
An examination of your photos would suggest that you have lost lateral support of your left breast implant. The best way to determine if this has occurred is to lie down and observe the difference in the way your breast implants move. I would suspect that your left breast implant will fall to the side to a greater degree than your right breast implant, indicating a loss of support of the implant by the internal ligaments of the breast. The loss of this support does require a revision surgery, but the good news is that the surgery is usually very successful. Please speak with your Plastic Surgeon to discuss your concerns and make a plan to address them.
Breast implants - cleavage is changing. Can it be fixed?
- If you are happy with the implants, I would leave things alone until you want something done.
- You appear to have large implants -
- Like naturally large breasts, their weight pulls them down over time.
- I think your doctor did a good job - if the extra-large implants were your choice.
- If your implants are much firmer, you may have a capsular contracture, contributing to the cleavage pull lines.
- If you decide to have something done, it will include smaller implants and a revision of the pocket (capsulorrhapy), possibly a lift and internal support with material such as Vicryl mesh or ADM - so it will not be a minor tweak.
- Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Revision Breast Surgery
Harvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon
Large implants placed over the muscle do not age well
You are beginning to show the longer term effects of placing large breast implants above the muscle. Since there is very little tissue to support the implants in this position, they commonly sag over a relatively short period of time (a few years) and create the "rock in a sock" appearance. You may be able to stave it off for a while with around the clock support bra use, but the webbing that you describe is likely to continue to worsen over time. Correction could involve a complicated surgery including repositioning the implants to an under muscle plane and a breast lift. Good luck!