What Could Have Caused Pain, Fullness & Symmetry Issues W/ 5 Yo Implants? How Can I Fix It? (photo)

I'm 27 w/ Mentor HP round saline 350cc implants from 5 1/2 yrs ago in Jan '08. I have stabbing pain occasionally in between my breasts, the left breast is significantly fuller on top & nipple is now 2.5 cm higher than the right. The 1st revision consult said it would be $10k for a full vertical mastopexy & silicone replacements. I do NOT want a lollipop scar.What are my options for symmetrical pretty breasts?is mastopexy necessary? What could have caused my breasts to look like this? I'm scared

Doctor Answers 5

Revisionary Breast Augmentation Surgery Best Option?

Thank you for the question and pictures. The pictures certainly demonstrate breast implant displacement/malposition problems. Your situation can be improved dramatically with “adjustments” of the breast implant pockets. This operation will likely involve closing off the breast implant space where appropriate ( capsulorraphy) and opening of the breast implant pocket when necessary (capsulotomy).

 It is possible, with the above maneuvers, that breast lifting will not be necessary.

 I would suggest that you do your due diligence and select your plastic surgeon carefully. Ask to see lots of examples of his/her work helping patients with revisionary breast surgery.  The attached link may be helpful to you as you do your research.

 Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Fullness & Symmetry Issues W/ 5 Yo Implants?

It appears that you have sub-muscular implants  with displacement -contracture on the left . I would recommend replacement in the sub-fascial position .I don't believe a mastopexy will be necessary .at the most a circum -areolar mastopexy should suffice 

Hilton Becker, MD
Boca Raton Plastic Surgeon
4.6 out of 5 stars 15 reviews

What Could Have Caused Pain, Fullness & Symmetry Issues

Thanks for your question and attached photos. One thing that would be helpful would be to know if these problems were present from the start or if they only occurred after some years . It would also be helpful to see preop photos if available--the nipples and areolas may have been uneven to start with. 

It appears that the left breast encroaches upon the midline, and that is the main asymmetry noticeable to me, other than the nipples/areolas. 

A pocket revision is going to be needed to get better symmetry, possibly with the use of Strattice, a dermal substitute to close off the inner part of the implant pocket on the left. . 

Some sort of mastopexy will be needed to try to make the areolas even. It may be that less than a vertical lift can be done, but that can only be determined at an in person consultation. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Consult with a Board Certified Plastic Surgeon to Discuss Your Options

It's best to consult with a board certified plastic surgeon in person to better learn your options. Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation. It's highly suggested to consult with board-certified plastic surgeons who are also specialized in breast surgery and cosmetic surgery are suitable to perform your breast augmentation. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. 

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Minimize pain with smaller implants and simultaneous lift

You are an excellent candidate for a new technique called Implant Exchange with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to remove your implants and place new silicone gel implants retro-pectoral.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall will allow the use of a smaller implant to achieve maximum anterior projection.  This technique avoids ugly scars of the lollipop or the Wise pattern boat anchor incisions.  Pain is relieved by using a smaller implant, retro-pectoral support and breast weight transfer to the underlying pectoralis major muscle.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

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.