Will the angular appearance of my breasts improve with time? 6 months post op. 375 cc (photos)

Hi, sorry to hear you have had problems following previous surgery, The appearances are likely to be related to the implant pocket not being the correct dimensions for the implant, which is distorting the shape of the implant. This could be potentially improved by releasing the implant capsule (capsulotomy) and altering the implant pocket.

Dear Eclectic316702,
dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

At six months post op you are seeing your final results and it is not likely to change without surgical intervention. Your surgeon can revise the procedure and potentially add mesh to support the thin tissue. I've included a video on this that I hope you find helpful.

This will probably not improve on its own. However, your surgeon could go back in and tighten the pocket in the weak areas. You might need mesh as an internal bra for support if your tissue is very thin.

To make an accurate assessment regarding the outcome of a plastic surgery procedure, we need to see proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took. There are three variables that determine the outcome of breast, augmentation surgery. The first is the patient’s candidacy for the procedure, the second is the choice of implants and the third variable is creating a correct anatomic pocket or placing the implants in the correct position. Different plastic surgeons have different skills, abilities, and techniques for doing this procedure. Implant choice makes a big difference. If the implant is bigger than the natural diameter of someone’s breast, then the natural anatomy of the breast will be distorted. This may become especially apparent if there is a little soft tissue to cover the implant.
I would say the outcome of your procedure and any undesirable issues related to the outcome are probably all attributed to all three variables. In other words, you candidacy for breast augmentation, especially with that size implant may not have been ideal, the implant size is a bit large compared to your pre-augmentation breast size(?) and your surgeon could possibly have done a slightly better job(difficult to determine)
It’s very difficult to make an accurate assessment with such limited information.
At this point, you need to ask yourself if this bothers you enough to have revision surgery which fundamentally isn’t going to change the outcome, but could open up the pocket where it’s constricted in a few places.
Your breasts are fairly divergent, and this is often exaggerated with the projection of implants.
I suggest you follow up with your provider and discuss your concerns with him or her. If you’re not getting the care you need then consider scheduling a few in person, second opinion consultation with other providers in your community. for in person, second opinion, consultations, I suggest coming prepared and bringing with you a complete set of before and after pictures and a copy of your operative report. These should all be available from your current providers office.
It’s difficult to get a clear understanding of all the decisions and how the surgery was performed by just seeing six month after pictures.
Best,
Mats Hagstrom MD