Breast Reconstruction Revision - what are you recommendations for me? (Photo)

I am sorry to hear you are unhappy with your primary breast reconstruction results. Breast reconstruction is often a journey, requiring one (or more) revision surgery, so know that there are still many great options for you!

Best options depend on your aesthetic goals. Scar revision can safely be performed at the same time as fat grafting. Fat grafting is great for adding natural volume overtop of an implant, customizing cleavage, hiding visible rippling and implant borders, and improving contour. If you miss the volume of your previous implants, upsizing your implant could be done at the same time as fat grafting and scar revision.

600 cc implants weigh over 1 lb each. The only thing holding up the implants is the skin envelope. Obviously, the skin envelope is deforming with the weight of the implants. You may be better off with a scar revision with smaller implants.

Best Wishes,

Gary Horndeski, M.D.