Revision options? (Photo)

Dear Brave600366,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I would recommend a revision that includes pocket work, re-creating a breast fold in the correct location, possibly removing any capsule if there is pathology (like capsular contracture), putting in new implants with Galaflex for support, and performing a breast lift. This plan is contingent on a lot of things including proper history/physical exam and ultrasound examination. This is a challenging case and you truly need a very experienced revisionary breast surgery expert. I would recommend finding someone who has completed an accredited fellowship by the Aesthetic Society who is also a board-0certified plastic surgeon (American Board of Plastic Surgery).

You have Grade II breast ptosis and a double bubble deformity. I'd suggest a breast lift with implant exchange. It might be necessary to transition your implants to a subfascial plane and repair the pectorals muscle