Considering Breast Augmentation Revision. What options do I have to bring them closer? (Photo)

Question

I had a breast augmentation and my implants are really far apart measuring about 6cm apart. I have 300cc saline implants filled to 285 and 300cc with moderate plus profile. I am confused because I supposedly have an 11.5 BWD (I think I was slouching). What options do I have to bring them closer? Was thinking of swapping for 400cc moderate profile implants instead of moderate plus. Is there anything else I can do? I have my before photo there as well. I also have some minor post-op asymmetry.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision. It appears that you would need a significant pocket modification which would include an internal bra, otherwise known as capsulorrhaphy and mirror image capsulotomy(opening up the center of the pocket).  In fact, I wrote the very first paper on capsulorrhaphy.  Make sure that you seek out experienced plastic surgeon in breast revision. Best wishes to you.

Daniel Barrett, MD · Answer

Dear Cool292392,
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

Your breasts appear to naturally sit somewhat far apart, and the actual bases of your breasts cannot be moved. However, the lateral pockets could be made tighter and your medical pockets could be enlarged to some degree. Fat transfers could be done to the medial breasts for more fullness if you have donor fat.

Mark A. Schusterman, MD, FACS · Answer

Thank you for your question.  Larger implants with more base width diameter will definitely get you breasts closer together.  Best of luck.

Darryl J. Blinski, MD · Answer

Based on nicely posted photos you started with wide spaced breast genetically. Could try to close lateral capsule with exchange to high profile implants and lateral taping for  2-3 weeks. Or matrix placed laterally. Best to virtual consult with….

Considering Breast Augmentation Revision. What options do I have to bring them closer? (Photo)

Answers (5)

Answer: Breast augmentation revision

Answer: Breast augmentation revision

Answer: Wide set breasts

Answer: Wide set 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.

Considering Breast Augmentation Revision. What options do I have to bring them closer? (Photo)

Answers (5)

Answer: Breast augmentation revision

Answer: Breast augmentation revision

Answer: Wide set breasts

Answer: Wide set 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.