My right breast dropper lower than the left. Second revision needed?

Dear Courageous515064
Thanks for posting your question and sharing your experience in here. In order to give you a reasonable answer, I need more Information:Did you have any asymmetry before augmentation?Were the infra mammary folds at the same level before original surgery?Did your surgeon use same volume implants on both sides? (Sometimes they use different sizes if patient is asymmetric). How long did you wear a support bra post surgery?
Assuming there was no asymmetry and same size implants were used and you had support bra for 6-8 weeks, There might be a possibility of problems with fixing the inframammary fold on right side. This is a crucial step in breast augmentation surgery and if not done carefully, one might disrupt the fascia attachments at this level and that might result in a weak fold and implant’s migration to a lower level.

Thank you for the question. Recurrent dropping of the implant usually requires additional support in the form of mesh. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Unfortunately, you have not provided photographs or told us your bra size. However, you may benefit from smaller implants as well plication of the pockets. You may also need material to reinforce the bottom of the breasts.

Best Wishes,

Gary Horndeski, M.D.

Dear Courageous515064,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

My recommendation on the second revision would be to utilize dermal matrix which is an internal bra that will support the implants from falling once again. Also, utilizing texturized implants as an alternative to help with implant migration.

If you have implants that are too large and heavy for your tissue, then they may sag again from the weight. You may need to go smaller or even have a dermal graft to give more support to the revision.

I'm sorry to hear that the revision surgery did not resolve your issues. A re-occurrence of bottoming out might require the addition of support sutured to the inside of your chest wall and bottom of the breast. This material is called ADM (Acellular Dermal Matrix). It's used in revision breast surgery and reconstructive procedures as well.
Best wishes.
Dr. Taranow