Need help finding my next breasts! I've had my under muscle breast implants for 10 years and they need a lot of help! (Photos)
Doctor Answers 11
Breast Fix, Under/Over Muscle?
Others have stated that they think you have capsular contracture but I am not so sure about that. Your implants look quite round but that would be a typical appearance of a larger saline implant with thinned tissues. Your ? right implant looks quite low and that would not be consistent with capsular contracture. Your ? left implant is higher so you might have capsular contracture on that side which, if present, will complicate the revision.
You indicated that you want to have your implants placed on top of the muscle. Perhaps that is related to your desire to participate in a fitness competition. There both pluses and minuses for having your implant either under or over the muscle. Given the position of at least one of your implants I doubt it is even under the muscle right now. One of the problems of putting an implant on top of the muscle is that the implant will thin your tissues. Your tissues already appear to be thin and putting the implant on top of the muscle will thin your tissues even further and this would not be to your benefit. It will make more likely that you could develop visible rippling and it will also increase the risks of doing a breast lift which is also something you will likely need.
It is useful to think of your revision surgery as requiring two significant components. First will be the implant which needs to be repositioned and possibly downsized. This will require modification of the internal implant pocket and putting in a new implant. The second part of the revision will involve lifting your breast and elevating and moving your nipple position inwards. This will require some type of mastopexy or breast lift. Given that your tissues are thinned there will be some increased risk of doing a breast lift on you.
At this point it should be evident that your revision surgery will not be simple or easy. You should definitely look for a surgeon that has lots of experience with revision breast surgery. Combining your breast surgery with your tummy tuck is possible, but there may be a limit on how much is done at time. If you think you are going to lose more weight then you should wait until you are closer to your goal weight.
Breast Implant Help and a Tummy Tuck
You did not supply a photo of your stomach but from what can be seen you may only need a mini tummy tuck to get a flat "competition" stomach but it depends upon your goals.
You have outlined your goals for your breasts and from what can be seen, it appears that you would need a breast lift and a revision of your implants. Sientra's textured breast implants or gummy bear implants would be a great option as they do very well over the muscle. Again, all of this depends upon your goals and what is seen on an in person evaluation.
I hope that helps.
Need help finding my next breasts! I've had my under muscle breast implants for 10 years and they need a lot of help!
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Need help finding my next breasts!
Breast lift and revision augmentation
You are a great candidate for breast lift and revision of breast augmentation. I don't recommend changing the pocket at time of mastopexy as that could compromise blood flow to the nipple areola complex. Look for a board certified plastic surgeon with experience in revision breast surgery. Best, Dr. Yegiyants
Need help - Breasts need changing
Need help finding my next breasts!
My Breasts Don't Look Good - What Do You Advise?
I'm not sure you meant to say you need your implants put over the muscle. There is some controversy about whether implants should be put over or under for body builders or fitness contestants. I personally like them put under the muscle, but that depends on your personal preference. Historically, implants look more natural and stay softer if placed under the muscle.
At this point, it would be appropriate for you to consult with several Board Certified plastic surgeons who have demonstrated on the internet expertise in both breast implant reaugmentations and lifts.
Breast change after pregnancy
It is important to wait on any surgery until your weight and breast size has completely stabilized. Once this has occurred, you would need a breast lift (mastopexy) at the minimum. It is also important to know the amount of breast tissue and the degree of capsular contracture that you have prior to deciding on the type and size of implant. If your current implants are below the pectoralis muscle, it can be very difficult to replace the implant above the muscle and safely perform a lift simultaneously. As always, it is important to personally consult with a board-certified Plastic Surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.