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.