I want to go bigger from 375cc smooth mod plus to 500cc mod plus. Should I fix the scar placement? Is this a complicated surgery even for an experienced Plastic surgeon? Should DR leave scar placement alone and just go bigger? The placement of implants on chest wall is perfect I think. It's just the scar is very visible and probably Even more if they use the same scar to put a bigger implant in. Should The scar be tucked in the crease? Will I loose significant lower pull fullness? Is fixing the scar placement risky? What would you do? I've been to a few consultations and all doctors want to tuck the scar and add internal bra but I'm scared the lose lower fullness what to do help!
Answer: Help Increasing implant size will only make the problem worse. I would recommend performing an inferior mastopexy (eliminating the excess breast tissue/skin below your old scars). This will help shorten the nipple to fold distance and improve the bottomed out look. The implant will always stretch out the lower pole, which is why scar planning is so important. Surgeons will normally just place the scar in the existing breast fold at the time of surgery (which is incorrect and will lead to displaced scars on the lower pole). I would highly recommend finding a highly trained aesthetic plastic surgeon (preferably 6 years of dedicated plastic surgery residency and 1 year of aesthetic fellowship). Best of luck!
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Answer: Help Increasing implant size will only make the problem worse. I would recommend performing an inferior mastopexy (eliminating the excess breast tissue/skin below your old scars). This will help shorten the nipple to fold distance and improve the bottomed out look. The implant will always stretch out the lower pole, which is why scar planning is so important. Surgeons will normally just place the scar in the existing breast fold at the time of surgery (which is incorrect and will lead to displaced scars on the lower pole). I would highly recommend finding a highly trained aesthetic plastic surgeon (preferably 6 years of dedicated plastic surgery residency and 1 year of aesthetic fellowship). Best of luck!
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May 14, 2023
Answer: Bottoming out Dear evangeline jamie,
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May 14, 2023
Answer: Bottoming out Dear evangeline jamie,
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May 9, 2023
Answer: Breast Revision-Bottomed out Judging by your photos it does appear that you have slight bit of bottoming out. This is not really because of how the scar has come up but more so the position of the NAC. You would benefit from a capsulorrhaphy during the revision surgery. That will bring the scar down a bit as well. But the main reason of having the capsulorrhaphy performed is because of the NAC position not the scar.
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May 9, 2023
Answer: Breast Revision-Bottomed out Judging by your photos it does appear that you have slight bit of bottoming out. This is not really because of how the scar has come up but more so the position of the NAC. You would benefit from a capsulorrhaphy during the revision surgery. That will bring the scar down a bit as well. But the main reason of having the capsulorrhaphy performed is because of the NAC position not the scar.
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Answer: Redo scar and recreate breast fold (tuck the scar into the breast crease) to fix bottoming out Your bottoming out and scar will certainly worsen with larger implants. I would not recommend going much bigger if you can avoid it. Larger implants will make bottoming out worse and puts lot of pressure on the breast fold and incision. Please visit with a board-certified plastic surgeon. Good luck!
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Answer: Redo scar and recreate breast fold (tuck the scar into the breast crease) to fix bottoming out Your bottoming out and scar will certainly worsen with larger implants. I would not recommend going much bigger if you can avoid it. Larger implants will make bottoming out worse and puts lot of pressure on the breast fold and incision. Please visit with a board-certified plastic surgeon. Good luck!
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May 19, 2023
Answer: Breast augmentation revision for bottoming out If the breast implants were initially placed under the pectoralis major muscle, it is apparent that they now have pushed out from under the muscle and are essentially on top of the muscle. Revision would best be performed by enlarging the pre-pectoral pocket and placing the implants totally on top of the muscle with recreation and elevation of the inframammary fold supported by mesh. Mesh should be used to prevent recurrent bottoming out even after removing the muscular force that caused the implant to displace inferiorly and stretch the fold. This is a great example of what happens when patients have sub-pectoral implants (under the muscle) and continue to perform gym activities that work the pectoralis muscle. Mesh will also be necessary to support the larger implant desired. Good luck to you.
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May 19, 2023
Answer: Breast augmentation revision for bottoming out If the breast implants were initially placed under the pectoralis major muscle, it is apparent that they now have pushed out from under the muscle and are essentially on top of the muscle. Revision would best be performed by enlarging the pre-pectoral pocket and placing the implants totally on top of the muscle with recreation and elevation of the inframammary fold supported by mesh. Mesh should be used to prevent recurrent bottoming out even after removing the muscular force that caused the implant to displace inferiorly and stretch the fold. This is a great example of what happens when patients have sub-pectoral implants (under the muscle) and continue to perform gym activities that work the pectoralis muscle. Mesh will also be necessary to support the larger implant desired. Good luck to you.
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