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Thank you for your questions and photos. This is the issue with trans-ax augmentation and why I do not offer it. Visualization is poor and pocket dissection is often incomplete. The muscle has not been released properly and this has lead to lateral and superior displacement of the implants relative to the breast gland. I would recommend a revision procedure through the fold to alter the pocket and possible exchange the implant. Best of luck!Dallas Buchanan, MDVIVIFY plastic surgeryTampa, FL
Thank you for your question. You definitely would benefit from a breast revision with pocket modification. This is otherwise known as a internal bra or capsulorrhaphy. I wrote the very first paper and capsulorrhaphy in 1999. I have been in practice for over 30 years and revision breast surgery is a large portion of my practice. You should be able to have a beautiful result in experience hands. Best wishes to you.
There are advantages and disadvantages to distant access incisions such as TUBA or Trans Ax. These incisions are easier to hide aesthetically. However, they can limit, to a certain extent pocket visualization during dissection (blind or endoscopic). They can also be limiting in terms of implant selection.With regards to your specific question, after 1 year post op significant changes are unlikely. You may benefit from pocket revision to better release the muscle and close off the lateral pocket to better centralize the implant. It is also important to remember that submuscular implants are limited by the sternal origins of the muscle. Wide set origins will limit cleavage.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
One of the challenges with transaxillary augmentation is that the surgeon is unable to visualize the pocket. A revision should improve your result but will likely require an additional incision. As you are one year post op if you do nothing your result isn't likely to correct without intervention.
Thank you for posting your question and pictures. It's a question, that comes up regularly. Borderline cases can be thoughest ones to make a decision on. It truly depends on certain measurements, anatomy, skin/tissue quality and a patients expectations. Sometimes a second opinion can be...
If you have confidence in the plastic surgeon with whom you had your consultation, then that is probably the best way to go. It is almost impossible for the rest of us plastic surgeons to match and implant to your expectations. Getting back to working out is usually dictated by the...
Dear jaqdela, 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...
Dear Dynamic537754, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to...
Dear daniellerae93, 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...
Intellectual819779, It would be helpful to know how much fat was transferred during your surgery. Most of your volume going from an A to a D cup if likely from the 350 cc implants themselves. A moderate weight loss of 10-15 pounds may result is some fat loss but should not dramatically change...
