I’m 5’0 and 97lbs will over the muscle implants look good? (Photo)

Question

In 2021 I got my Aug done size 350 cc Sientra but soon after my right implant bottomed out. Six months ago I saw another surgeon and he went in and created sutures and a new pocket inside to correct the bottoming out but it failed and my right implant is still lower and less full now. I have gone to see another surgeon and he is suggesting I get both implants out from under the muscle and place them over the muscle. I started with an A cup. Is this the best option for me? I want to look good

Gerald Minniti, MD, FACS · Answer

The subpectoral placement of your implants did not cause this problem, as evidenced by the normal position of the left implant. Therefore, placing them over the muscle would not be a cure, especially since the lower half of the implants, where the problem is happening, are actually subglandular already. In fact, it would be introducing a new problem; operating on the other breast that has no problems. Also, subglandular implants have higher rates of implant palpability, visibility, and capsular contracture. Instead, you need an experienced surgeon who can resize the right pocket using not only stitches, but also mesh to fix the dropout once and for all.

Gary M. Horndeski, MD · Answer

When implants are placed, tissue is cut to generate the space to allow the implants to exist.  350 cc implants are large.  The only thing holding up your implants is the skin envelope and as you can see the skin envelope does not have the mechanical strength and the implants have dropped down.  You need to consider smaller implants behind the muscle and will most likely need a circumareola approach to correct the asymmetry  of the nipple-areola complexes.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery, and I have been in practice over 28 years. Please do not have your implants placed on top of the muscle. I have a whole gallery of long-term changes associated with implants on top of the muscle leading to slide down, wrinkling and knuckling, and capsular contracture. You should be able to have an excellent result with a properly performed right sided inferior internal bra-capsulorrhaphy.  I wrote the very first paper on this in 1999.  Additionally, you will need circumareolar repositioning, ie a donut type lift to lower the right areola and elevate the left areola. Best wishes to you.

Connie Hiers, MD, FACS · Answer

Actually, you have more support keeping the implants behind the muscle, better upper breast fullness, and hide the implant edge when the implants are behind the muscle. You might need to go down in size some and use mesh for better internal support. Do not go larger.

I’m 5’0 and 97lbs will over the muscle implants look good? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

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I’m 5’0 and 97lbs will over the muscle implants look good? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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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.