34C, 5’5”, 58kg. Trying to avoid a lift - How can my snoopy deformation be improved? (Photos)

Question

Hi, I had a BA in 2019 Dual Plane 300cc High Profile Round Silicone. I have never been overly happy with the outcome as did not drop and fluff as I was hoping for, leaving more fullness above the nipple than below and creating what I believe is a snoopy droop appearance with my nipples lower and saggy under pole. I did go back to surgeon within three years who said he was very happy with the results. However I do not feel they look natural. I wore a breast band above the nipple and was in a lot of pain for many months. I am a 34C, 5’5” and weigh 58kg Age 49 What do you suggest can improve the appearance whilst trying to avoid a ‘lift’ please? Would bigger implants moderate profile create a more natural look with more lower pole fullness? Or would going over the muscle be better? I really appreciate any advice you can give. Thank you for your time

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, you have fairly typical appearances a few years on from an augmentation with high profile implants in a dual plane. If you wish to avoid a lift, then the implant needs to drop to better fill out your lower pole. In revision cases I would usually recommend an implant with a round base and a soft gel that will fall to the bottom of the implant and provide natural balance to the breast, such as a Motiva Ergonomix implant. Placing the implants in front of the muscle may well help in your situation, but this needs to balanced against the risk of implant rippling / palpability depending on your upper pole cover. Consult an expert in aesthetic breast surgery.

Gary M. Horndeski, MD · Answer

I would recommend smaller implants with plication of the pockets laterally and inferiorly. At the same time, I recommend a circumareola approach to lift the nipple-areola complexes higher on the chest wall.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Emre Guvercin, MD, FEBOPRAS · Answer

You have a light waterfall deformity, which the implant stays higher in the chest wall compare to breast tissue. The best solution should be changing the implant plane to subfascial with nano textured, thighting the breast skin with argon plasma without any big scar at the same time

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34C, 5’5”, 58kg. Trying to avoid a lift - How can my snoopy deformation be improved? (Photos)

Answers (3)

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