I had my first full lift with implants 9/2022. I waited 6 months- 9 months and my breast weren’t dropping. I went back for a revision with a larger implant and now I’m 4 months post op and my right breast is not dropping. I am so confused on why this is happening. The first time around my doctor said it wasn’t CC. Should I be concerned? I have 700 HP Sientra implants
January 18, 2024
Answer: Implant revision It’s a little difficult to tell from the pictures alone, but it does look like you’re right implant is riding a little high. On most people, the left breast naturally sits higher than the right side by typically about a half inch. It’s possible you may also need a slight re-tightening of the lift on the right side, but most likely lowing the implant is probably sufficient. I recognize it can be very frustrating especially if you’ve already had one revision. Do you understand that implants riding high is a much better problem than implants bottom out, which tends to lead to very difficult situations to fix later. Lowering the implant is usually fairly simple and straightforward. surgeons generally leaving the implants rather than opening the infra memory fold too much. Most likely your provider has the skill necessary but sometimes though infrequently a second revision may be indicated. Overall, the outcome looks very nice, so I’m guessing you’re in the hands of a talented plastic surgeon. Despite the frustration I recommend you continue working with your provider and talk about potentially having a second revision. Augmentation mastopexy surgery does have fairly high revision rates with all plastic surgeons. Some plastic surgeons recommend doing these stage procedures. Recognize you’re not alone in needing some touch up ticket the ideal outcome. I’m sure your surgeon wants you to be happy with the outcome and will work with you to get it right. You can always have second opinion in person consultations if you feel it’s necessary. I don’t see evidence of anything else being wrong, so I think your provider is probably fit to do the job though it just took a couple of tries. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful
January 18, 2024
Answer: Implant revision It’s a little difficult to tell from the pictures alone, but it does look like you’re right implant is riding a little high. On most people, the left breast naturally sits higher than the right side by typically about a half inch. It’s possible you may also need a slight re-tightening of the lift on the right side, but most likely lowing the implant is probably sufficient. I recognize it can be very frustrating especially if you’ve already had one revision. Do you understand that implants riding high is a much better problem than implants bottom out, which tends to lead to very difficult situations to fix later. Lowering the implant is usually fairly simple and straightforward. surgeons generally leaving the implants rather than opening the infra memory fold too much. Most likely your provider has the skill necessary but sometimes though infrequently a second revision may be indicated. Overall, the outcome looks very nice, so I’m guessing you’re in the hands of a talented plastic surgeon. Despite the frustration I recommend you continue working with your provider and talk about potentially having a second revision. Augmentation mastopexy surgery does have fairly high revision rates with all plastic surgeons. Some plastic surgeons recommend doing these stage procedures. Recognize you’re not alone in needing some touch up ticket the ideal outcome. I’m sure your surgeon wants you to be happy with the outcome and will work with you to get it right. You can always have second opinion in person consultations if you feel it’s necessary. I don’t see evidence of anything else being wrong, so I think your provider is probably fit to do the job though it just took a couple of tries. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful