I know I need a revision, what can be done? (Photo)

Question

I had Second lift with implant replacement about a year ago and had partial necrosis of left nipple and areola. Now I have asymmetry of fat that makes my breasts look lumpy in areas. The amount of redundant skin still seems to be excessive and I’d like to have it removed. I feel like a side show attraction not a woman with real breasts. I wanted to look more normal and now I feel like I don’t even have breasts because they are more like misshapen sacks of skin with firm implants underneath. :,(

Gianfranco Frojo, MD · Answer

To address the excess skin and laxity; there are several options.
1) perform a breast lift only
2) downsize to a smaller implant and perform a breast lift
3) remove the implants and perform a breast lift
I would also recommend finding a surgeon certified by the American Board of Plastic Surgery. I would particularly recommend finding one with excellent experience in breast surgery.

Jed H. Horowitz, MD, FACS · Answer

I need a breast revision, what can be done?

Thank you for writing. It would help to have more information regarding your measurements such as how tall are you how much do you weigh what size bra do you wear what is your chest measurement?

For do you prefer breasts that are rounder on your chest like a grapefruit or more projecting with less breast on the side of your chest. The profile of the implant in your case high and extra high are a tradeoff for the diameter of the breast given the same volume. Secondary breast surgery can be complex and needs to be done by an experienced plastic surgeon. At the Pacific Center for Plastic Surgery, Dr. Horowitz has a special interest and extensive experience each over the past 25 years in secondary, or “redo” cosmetic and reconstructive breast surgery. They are often referred patients treated by other plastic surgeons to correct and improve upon patients with preexisting implants.

Additional skin removal will be needed .  maybe a smaller implant for softness. Fat transfer will help smooth out areas of the breast..  It may be best to do complex breast revision in stages to get the best result

Please schedule an appoint with us for an examination and personal evaluation Dr. Horowitz advises the best course of action based on each patient’s individual circumstances.

Gary M. Horndeski, MD · Answer

As others have stated, your implants are too large.  At this time, I would recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

I am aware how traumatizing tissue necrosis can be for a patient and I wish that none of my patients ever had to experience it, but it infrequently happens. Moving forward for you, it appears that, based on photos that are never fully helpful, you have suboptimal nipple areolar complex (NAC) positioning on the breast mound and residual redundancy of breast tissue, probably both sides. A full examination would be required to determine the best course of action, which could include not only soft tissue management, but also implant revision. Go get some in person consultations.

Ronald J. Edelson, MD · Answer

The main problem I see is the size. I think your implants are far too large.  Otherwise it’s actually a good job

I know I need a revision, what can be done? (Photo)

Answers (7)

Answer: Revision Mastopexy

Answer: Revision Mastopexy

Answer: Breast lift

Answer: Breast lift

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.

I know I need a revision, what can be done? (Photo)

Answers (7)

Answer: Revision Mastopexy

Answer: Revision Mastopexy

Answer: Breast lift

Answer: Breast lift

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.