1 year post op - left implant has not dropped. Is a revision needed? (Photos)

Question

Im 33 years old 5'2 about 127 lbs i got implants with some fat grafting exactly 1 year ago. 365cc( i believe) silicone high profile UTM implants. I have been worried about my left implant as it has struggled to drop and since i am a lifter i feel it alot in my upper body workouts. I have been getting massages, working on fascia release and i dont directly do chesst work ever in my workouts but it is refusing to drop. I feel as if the breast fold is more like a ledge than a fold. Is a revision possible for this? Now that i look at the photos i wonder if my right implant has bottomed out? Or if it correct and my left one is throwing my perspective off. Do i need a revision to both? Just one? What are my options?

Gianfranco Frojo, MD · Answer

It appears that the left (patient left) side has slightly bottomed out compared to the contralateral side. This would be easily fixed with a horizontal resection of skin/tissue to make the left nipple to fold distance more similar to the right side. This only applies if there is no implant malposition or pocket-implant interface problems. I would recommend seeing an expert in revisionary aesthetic plastic surgeon board-certified by the American Board of Plastic Surgery.

Daniel Barrett, MD · Answer

Dear awwbrie,

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

Gerald Minniti, MD, FACS · Answer

Now you see it! Lefty is the good one, righty looks funny. You’ll need a procedure to tighten the scar capsule below the right implant, preferably with mesh support.

Connie Hiers, MD, FACS · Answer

Your lower implant has bottomed out and your other implant is in good position.  I would suggest revising this one only, and do not go larger.

1 year post op - left implant has not dropped. Is a revision needed? (Photos)

Answers (4)

Answer: Breasts

Answer: Breasts

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

1 year post op - left implant has not dropped. Is a revision needed? (Photos)

Answers (4)

Answer: Breasts

Answer: Breasts

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.