Is there anything that I can do to improve the look and shape of my breast? 5 months post-op. (Photos)

Question

I removed my 25 year old silicon implants and capsulectomy. They were over the muscle and at the time of explantation they were in tact. Left side had CC grade II-III. Over the past few months I have noticed small changes, but for the most part I think this is what I will be left with. It seems that my inframammary fold is lower and causing a dent in my lower breast. Thank you for your time.

Gary Lawton, MD, FACS · Answer

At this point things may improve, especially since you have already seen changes. Massage out the tight parts.

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,
Thank you for your enquiry. The photographic information is very helpful.
This appearance is not unusual following implant removal. One year following surgery you should not see much more change and could consider surgery. The options include excision of excess skin and recreation of the breast fold, a formal uplift and / or fat transfer
I would suggest to confirm this with your surgeon.

Jed H. Horowitz, MD, FACS · Answer

hello blair482 You may not be satisfied with the appearance of your breasts. Incorrect implant size, inappropriate scar  location or appearance, and misplacement of implants may interfere with a satisfactory appearance. Asymmetry (unequal breast size or shape) may occur. The implanted breast may sag or droop (ptosis) over time, much like a natural breast. The explanted breast may droop or be distorted in shape. #shape #dents

Daniel Barrett, MD · Answer

Dear blair482,you can try to wait more to see if there will be some changes or you can consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Camille Cash, MD · Answer

You may consider fat grafting to help with the shape, or perhaps a smaller implant.  I recommend meeting with a board certified plastic surgeon in your area to discuss your options based on how you would like your breasts to appear.

Richard J. Brown, MD · Answer

Revision breast cases are tough. You either have a double bubble cause by violation of the inframammary fold at one of your past surgeries. In that case the implant drops below the old released fold and rides up along the lower pole of the breast as you show. Or, you may have the pectoralis muscle released and window shaded up to that point over the lower breast. When you animate the muscle it will cause indenting like this. But, if you are not flexing the muscle this is likely a double bubble. Pocket revision with biologic mesh to recreate the old fold is the best way. Seek several board certified opinions. Best of luck.

Connie Hiers, MD, FACS · Answer

Yes, you could consider fat grafting to help fill our that area or another, but smaller, implant. I would suggest meeting with your surgeon and discussing your options.

Kamran Khoobehi, MD · Answer

You have typical post explantation soft tissue loss. The best option is fat grafting to replace the lost fatty tissue. Please see the link

Arian Mowlavi, MD, FACS (license on probation) · Answer

You have an explant deformity that can be corrected in three to six months following your surgery with fat grafting.

Is there anything that I can do to improve the look and shape of my breast? 5 months post-op. (Photos)

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Answers (9)

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