Fat transfer or new implants? Symmastia hx (Photo)

Dear Imaginative914619,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

When breast implants are placed correctly and are of a large size, they usually do not cause symmastia. However, a larger implant requires a larger pocket, and this may increase the risk of symmastia when the surgery is performed by an inexperienced surgeon. If a surgeon is not adequately trained, they may damage the connective tissues in the center of the patient's chest while trying to accommodate a larger implant. It's important to note that breast implants of any size can result in the "bread loaf" look if they are placed too close together in an attempt to create more cleavage without considering the underlying tissue.

Fortunately, this issue can be fixed with a new technique that I’ve personally used that involves creating a fresh pocket between the existing pocket and the pectoral muscles. This method depends on the resilience of unharmed tissue surrounding the new pocket to avoid a recurrence of symmastia, as opposed to stitching up the impaired tissue in the old pocket.