Waterfall Deformity - Do I need a lift with my next Breast Augmentation? (photos)

Question

I got my Breast Aug in Sept of 2020. Prior I having a BA I started competitive bodybuilding- before competing I had pretty large breasts, after I basically had skin flaps with nipples. I went to my Dr and was told we would just go big enough to fill out my breast and that she wouldn’t need to do a lift. All my research told me otherwise- but I went ahead with the BA. I have 450CC silicone high profile cohesive gel implants under the muscle. Do I need a lift with my next BA?

Alan Gonzalez, MD, FACS · Answer

Hello @Cool944124 tank you for your question and showing your pictures. Yes you'll need a lift and a change of the location where the prosthesis are located. The prothesis placement is really important when we talk about waterfall deformity. I link a video tho shed more light!. An on-site or virtual consultation with a board certified plastic surgeon is the best way to determine an appropriate intervention by assessing your individual characteristics as well as your goal look. Alan Gonzalez MD FACS

Gary M. Horndeski, MD · Answer

In your pre-operative photograph, your breasts were asymmetrical in volume, shape and position. At this time, they are still asymmetrical in volume, shape and position and have the waterfall deformity. One solution, is to release the fold then the breast can bottom out but can be a problem. The other alternative is to do a breast lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Your preoperative photos show you were borderline as far as needing a lift. I think your breasts look pretty good now. You may need a lift in the future but I wouldn't recommend one now.

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,
Thank you for your enquiry. The photographic information is very helpful.
A breast lift would be advisable to improve the shape. This can be done on its own or together with an implant exchange.
I would suggest to confirm this with your surgeon.

Daniel Barrett, MD · Answer

Dear Cool944124,
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

Connie Hiers, MD, FACS · Answer

You probably need a lift to lift up the sagging breast tissue. If you consider going smaller, you will need a lift.

Darryl J. Blinski, MD · Answer

Thanks for excellent posted photos. If you are happy with the volume then only a limited full or L-shaped lift will solve the waterfall issue. Expect fees in $8,000 ranges

Richard P. Rand, MD, FACS (retired) · Answer

Your breast tissue is falling off the implants so, based on the photos, I would suggest a lift. You don't need to wait until you change implants because you might never need to do that.

Waterfall Deformity - Do I need a lift with my next Breast Augmentation? (photos)

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