Mesh or No Mesh to bring breasts closer together? (Photos)

Question

I have ~20 year old saline implants under the muscle. I have never liked how wide my breasts appear and never have cleavage. I am currently about. 34D. I’d like to get new implants and have seen several surgeons. Some say I need mesh to re-position my breasts closer together and some say mesh won’t work because of my particular breast footprint. . I’d like to go a little larger too.

Daniel Barrett, MD · Answer

Dear pawsonmysoul,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Richard Baxter, MD · Answer

One important thing to consider is nipple position, because if you move the implants closer together then the nipples will be too lateral. You will definitely benefit from an internal bra with Galaflex mesh, but also a lift to move the nipples closer toward the middle.

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and breast 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

George Marosan, MD · Answer

Thank you for your question and photos. First of all, you will never have close cleavage due to your bony chest wall architecture. You have somewhat of a barrel chest deformity which makes your implants slide to the side. The implants sit on your chest wall! Also, you have notching of your rib cage medially, one side higher than the other which prevents your breasts and implants coming closer. Mesh might not help in the long run. If you were my patient, I would recommend a breast lift/augmentation. This will help bring your nipple/areolar complexes to be placed more medially. You would benefit from a low or moderate profile implant. See a board certified plastic surgeon experienced in all aspects of breast surgery for an in person consultation/evaluation. Good luck.

Mesh or No Mesh to bring breasts closer together? (Photos)

Answers (4)

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