Hi. My original surgery was in December of 2023 and I am overall very unhappy. I got a breast lift with 600CC implants with galaflex. I got nipple necrosis and also feel my breasts are uneven. The implant in my left moves around so much and I can feel it shifting every time I bend down. When I bend down, the breast takes an unusual shape and I have to manually put the implant back in the right place. Should I get a revision? Risks? What could be going wrong with me? I am worried about CC.
June 19, 2024
Answer: What are the odds of getting nipple necrosis a second time with revision surgery? Thank you for your pictures and questions. Your pre-op photo is very helpful as it shows that your pre-op appearance makes a single-stage mastopexy and augmentation VERY difficult. You had severe (grade 3) breast ptosis (drooping) with a very enlarged areola and significant stretching of the skin envelope. It is actually pretty impressive that your surgeon (whoever he or she is) was able to achieve a reasonable result in one operation. Many surgeons might have told you they could only do your surgery in two stages (lift first, implant later). Your scars are very reasonable, the shape and symmetry may not be perfect, but is completely reasonable given the starting position. The nipple necrosis is unfortunate, but with a big lift and a large implant, you are putting a large amount of tension on those tissues and incisions, and you are lucky you did not have a more significant healing problem that lead to larger skin loss, deformity, and loss of the implant or exposure of the mesh.
Helpful 1 person found this helpful
June 19, 2024
Answer: What are the odds of getting nipple necrosis a second time with revision surgery? Thank you for your pictures and questions. Your pre-op photo is very helpful as it shows that your pre-op appearance makes a single-stage mastopexy and augmentation VERY difficult. You had severe (grade 3) breast ptosis (drooping) with a very enlarged areola and significant stretching of the skin envelope. It is actually pretty impressive that your surgeon (whoever he or she is) was able to achieve a reasonable result in one operation. Many surgeons might have told you they could only do your surgery in two stages (lift first, implant later). Your scars are very reasonable, the shape and symmetry may not be perfect, but is completely reasonable given the starting position. The nipple necrosis is unfortunate, but with a big lift and a large implant, you are putting a large amount of tension on those tissues and incisions, and you are lucky you did not have a more significant healing problem that lead to larger skin loss, deformity, and loss of the implant or exposure of the mesh.
Helpful 1 person found this helpful
June 19, 2024
Answer: Revision At this time, your nipples are at uneven heights. You will need a circumareola lift to correct the nipple positions. You would benefit from smaller implants with inferior and lateral plications.
Helpful 1 person found this helpful
June 19, 2024
Answer: Revision At this time, your nipples are at uneven heights. You will need a circumareola lift to correct the nipple positions. You would benefit from smaller implants with inferior and lateral plications.
Helpful 1 person found this helpful
