What can be done to help me achieve a larger, perkier bust? Unhappy with previous breast augmentation results (photos)

Question

Hi - i had “bilateral implants removal, capsulectomy and dual plane breast re-augmentation with 450cc round textured, high profile mentor silicone implants and “inverted t” mastopexy” And I absolutely hate my results. The operation was supposed to give me added volume, projection and cleavage and I have lost all 3. I previously had 390cc and 410cc round high profile implants - and the aim was a larger, perkier bust. What can be done?

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, sorry to hear that you are dissatisfied with your results and thanks for the question. If it is more volume that you wish to achieve then you could consider exchanging your implants for larger implants that are a better fit for your frame, or fat grafting over your existing implants. You may also need some subtle adjustment of the skin envelope and the position of the inframammary fold. You would need to consider the implications of a larger implant volume, which is an increased risk that the skin will stretch again in the long-term. This can be assessed more accurately and recommendations tailored to your desired outcome at a face to face consultation.

Daniel Barrett, MD · Answer

Dear Friendly79788,
based on your photos, it looks like your surgery was recently. So, it is best to wait until you are fully healed prior considering another procedure. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
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 perception of your breast size is inaccurate because of the placement of the volume. Before, most of your breast volume hung from your chest and were also projecting. After, with even larger implants, your breast volume is higher on the chest wall and compressed by a tighter soft tissue envelope. If at least 6 months has transpired, you can replace these implants with ones that are at least 40 to 50% larger. To be sure though, get sized.

Gary M. Horndeski, MD · Answer

At this time, the position of the high nipple-areola complex makes it more difficult to repeat the lift.  You may benefit from scar revision using the inferior incision to generate more tissue from underneath the breast and place the implants higher on the chest wall.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You actually have a good result. There are several options for revision depending on what about your result specifically you don’t like

What can be done to help me achieve a larger, perkier bust? Unhappy with previous breast augmentation results (photos)

Answers (8)

Answer: Revision

Answer: Revision

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.

What can be done to help me achieve a larger, perkier bust? Unhappy with previous breast augmentation results (photos)

Answers (8)

Answer: Revision

Answer: Revision

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.