Concerned about shape of my breasts, would the Ryan procedure deliver results or should I consider other alternatives? (photo)

Your photo can't tell us everything we need to know, but it says a lot. Periareolar incisions, probably how you started out with implants. Inframammary incisions far below, probably how you ended your implant relationship or tried to fix it; implants were probably on the larger side too. Your problem is not just lack of volume, but lack of shape, specifically projection of the mound where it needs to be. I've never heard of a 'Ryan' procedure, probably because it's a just another eponymous name by some surgeon trying to claim an unnamed but common procedure as his or her own. However, throwing away any volume doesn't sound like a good idea, and removing any skin should be carefully planned if it is even possible. The only way I can think that might help is if the skin excision mirrors your current inframammary fold, leaving a longer inframammary incision than you have now. In theory, it would pull the nipple areolar complex down and drive lower pole fullness up. I think preservation of volume is so important that I would only remove the outer layer of skin in the planned excision, preserving dermis. In an ideal world, more fat grafting in the upper pole and subareolar region as a secondary procedure would be helpful.

Hello, thank you for your question. How much fat was transferred during the RAFT surgery? Its hard to say if you would get the desired look from a Ryan procedure. Bring in some wish pics of what you envision your breast to look like and hopefully your plastic surgeon can discuss options to get you to that result as close as possible. Feel free to check out our website for more information.

In order to improve the shape of the breasts and create more fullness without implant, you would benefit from moving the lower breast crease, inframammary fold (IMF) into higher position. That will bring your breast tissue from the lower pole into more central position and improve projection of nipple/areola. You may also consider fat grafting of upper and madial breast areas to crerate more atractive shape. In person consultation with a board certified plastic surgeon, familiar with these procedures, is recommended. Good luck.

Dear Philosophical1179,
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

I agree that a procedure to raise the inframammary fold would be of significant benefit although there would be a scar in voiced. Trying to reestablish the gold from infuse the breast is also a possiblility but I don’t think would work as well

You have what is known as a double bubble phenomenon. The Ryan flap technique could be one of the techniques used, but there are more appropriate ways to treat that today using GalaFLEX inserts, which will support and re-contour the lower breast.

Based on the 1 posted photo I might recommend the "RYAN" option of formation higher infra mammary crease. This is a very old operation not many younger PSs have experience with. It is also labelled a thoraco flap formation technique. Fee $10,000 Best to virtual consult with...