Do I appear to have failed muscle repair and are my implants too low? (Photo)

Dear Cale0811,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.


Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From your pictures, the abdomen appears to be healing well. The excess fat of your lower abdomen may be from bringing this area down at the time of your abdominoplasty. Muscle repair can also contribute to a better result. The firmness may be due to scarring and fibrosis There is some asymmetry to your breasts that may need to be corrected. The breasts are still healing and will take up to a year to heal. I would see your surgeon and discuss these issues.

Your doughnut lift did not address all your excess skin, and your implants appear to be bottoming out some. Please wear a good supporting bra. an examination is needed to determine what is the problem with your abdomen. Please go visit with your surgeon.

Hello; The tightening of the muscles is not solely related to the plication of the abdominal muscles. Sometimes, the lower abdominal muscles can be very thin and weak in structure. Even if plication is done, swelling may still appear in the lower abdomen. If this is the case, repair with mesh may be necessary. The appearance of your breasts will become clear six months after the surgery. Since one of your arms is down and the other is up, it is not possible to evaluate the breasts clearly with these photos. To comment on the breasts, the arms should be down and at the waist in the photos.

It does not appear from your photos that your muscle repair has failed, but you may benefit from some touch up liposuction to enhance your results. A photo is needed of your breasts with both arms resting at your sides naturally to properly give an opinion. At six months post op you should be seeing your final results. I encourage you to discuss your concerns with your surgeon.

Based on your post of photos, it appears you need an ultrasound of your lower abdomen to determine if it’s residual fat, muscle repair, or a fluid cavity, or combination of them all. My guess would be fat of lower abdomen that can be corrected with ultrasound guided liposuction, and you have dog ears of the end of the incisions to be revised. As for your breast appears you have some bottom out and need a revision of the complete inferior crease of the breast with specialized suture mesh technique. Fee from $10,000-$20,000. Best of virtual consulate.