Implant exchange for smaller implants, would they fix tenting & give me desired cleavage? (Photos)

Question

I got my breasts done almost 3 years ago. I got 530cc HP on R and 590cc MP on L to correct some asymmetry due to Pectus excavatum. I want to reduce my size to 250cc mod+ and 350cc hp to get a more balanced look. I also noticed some tenting in the midline of my breast. I figure it's just because the implants are far too wide for me because when I flex, my midline separates. Would smaller implants fix this issue and give me the cleavage I desire? Could I get away without a lift. No kids. 23 y/o

Celal Alioglu, MD · Answer

Hello yes if you want to reduce your size you need change your implants and also you will need breast lifting with implants

Michelle Zweifler, MD · Answer

Smaller breast implants may help achieve a more balanced proportionate look.  As far as improving cleavage, this is often treated with internal sutures, implant pocket change or possibly mesh to help minimize the tenting or symmastia.

Jeffrey Lisiecki, MD · Answer

Your implants are very close together, creating the appearance of symmastia. At the same time, what you are describing with flexing is animation deformity, which can happen when implants are under the muscle. The large implants are likely contributing to the symmastia. Downsizing should help, and you might need a mesh internal bra to help fix the symmastia. Alternatively, if you would like to stop having implant animation entirely, repairing the pectoralis muscle back to the chest and placing the implants subfascial would be the fix for this. Size would be up to you of course, but the exact implant shape and profile would be based on your measurements to ensure it fits your chest wall the best.

Daniel Barrett, MD · Answer

Dear ElectricxVibes,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, go smaller to fit your frame better. The internal pockets can be tightened if needed, and your surgeon may need to decide to do that when you are in surgery.

Ralph M. Rosato, MD · Answer

Many times a repair of the inside of the implant pocket will need to be done as well as using implants that are not as wide.  This will be determined at the time of surgery.

Kevin Tehrani, MD, FACS · Answer

thank you for your question and posting appropriate pictures. You're correct that the reason for your midline tenting is because your left-sided implant is too wide. You are a very good candidate for downsizing test to discuss sizing, either virtually or in person as a dramatic downsize may need a lift, however, if you have a moderate downsize, you will get away with internal lifting of the capsule.

Douglas Taranow, DO, FACOS · Answer

The reduction in implant size will certainly change your size and look. The tenting will require some stitching of each side to repair the cleavage.

Implant exchange for smaller implants, would they fix tenting & give me desired cleavage? (Photos)

Answers (8)

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