Implant Never Dropped. Do I Need a Revision?

A quick look at your photo shows that the right breast has more upper pole fullness, suggesting that perhaps the right implant is higher. However, on closer inspection, the breast crease on the right is also lower and the right breast is overall narrower in appearance. Several things come to mind.

1. Did you have preoperative asymmetry? (your nipple positions are different which could be due to preop asymmetry)

2. Do you have different size implants?

3. Although you say the right breast is soft, is it as soft as the left breast? There may be an issue of mild capsular contracture on the right that could be distorting the implant shape.

All of these are considerations and would need an in-person exam to truly lay out a plan. However, for the most part, I do think you will need some sort of revision in order to address your concerns. Typically revision breast surgery is less painful than primary breast surgery, especially if the implants are already under the muscle. The cost is highly variable. Most plastic surgeons discount the price if it is their own revision.

Hope that helps and good luck!

Dr. Babak Dadvand

Yes you should consider having a surgical revision of the right sided breast implant pocket to lower the implant. Many PS offer a discounted price for revisions.  You should discuss this with you PS. If you are unsatisfied with the answer seek a second option.