Breast augmentation bottom out/fold malposition or other concern? (Photos)

Question

Hello, I had breast augmentation 3 years ago in 2021. Recently, I noticed that my right breast is not as good as before. There is a line or crease on my right breast. I don't know what this is, please look at the photos. Is this a problem related to the breast implant or a problem with the breast pathology. I look forward to receiving answers from experts. Thank you.

Daniel Barrett, MD · Answer

Dear kathyhuynh19,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Your native breast crease is now apparent on that breast because the implant is sitting a little too low. In addition, the other implant is sitting a little too close to the midline. Both of these issues can be corrected with a revision surgery called capsulorrhaphy, a procedure the tightens the pocket in specific areas, which repositions the implant.

Connie Hiers, MD, FACS · Answer

You have bottomed out some. this can be corrected if it concerns you. For now, wear a good supporting bra with underwires.

Mats Hagstrom, MD (license on probation) · Answer

It’s a little bit difficult to make an assessment from the information included.
It’s really important that you document if the pictures are taken using a mirror since that will reverse the image.
It should make it very clear if you’re talking about your right side or the right side in the picture.
To make a quality assessment, we need quality information.
Generally, this means having access to quality before and after pictures and an examination.
I generally recommend people avoid virtual consultations and instead schedule in person consultations.
Perhaps your pocket has opened up and the implant has dropped slightly in the middle while the lateral aspect has not opened up.
Perhaps this is related to the shape of the pocket from the initial procedure.
I don’t think there’s anything wrong with your breast, but I also don’t think anyone can make a really high-quality assessment without having really high-quality information.
Follow up with your provider if he or she is available.
If your breast bother you enough to see your plastic surgeon, then see them or consider scheduling a second opinion consultation with another provider if yours is not available or doesn’t give you a Sufficient explanation.Best,
Mats Hagstrom MD

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