Revision options?

Question

I had my breasts done over 10 years ago and they never healed correctly. The procedure cost $7,000 and I was unhappy with the results since day 1. A Revision the time was estimated at $14,000 by the same “best ranked” surgeon who botched the procedure. I could never afford the Revision since, however I am now looking for opinions before I get a consultation.

Daniel Barrett, MD · Answer

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

Gianfranco Frojo, MD · Answer

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).

John L. Burns Jr., MD · Answer

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

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Even ten years ago a primary breast augmentation for $7000 was not that far from average, and well below average in most major cities. It is clear that you needed a breast lift then, and you'll need one now. Revision breast augmentation with a lift for $14000 is definitely in the average range, and well below average in most major cities. Plastic surgery is expensive and cheap plastic surgery has been demonstrated time and again to be associated with higher rates of complications.

Connie Hiers, MD, FACS · Answer

I am sure you have healed from surgery, but you needed a lift which was not done. Also, the base needs to be adjusted on at least one side.  You might consider going to a university setting that trains plastic surgeons for surgery with a lower price tag.  You will have an experienced plastic surgeon in the OR.

Hilton Becker, MD · Answer

You have animation  deformity due to your implants being under the muscle .
I usualluy correct this by placing the implants above the muscle

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