Why are my boobs more down than before? Do I need a revision? (Photo)

Question

I changed my sub glandular implant after 10 year as i had too much rippling (bottom pic) but the new subpectoral implant already looks really old and saggy. It is more saggy than before and the shape is awful, is this normal?? What should I do? Do I need a revision? Thank you

Gary M. Horndeski, MD · Answer

Your implants where placed subglandular, which means the weight of the breast is held by the skin envelope only. Your skin has stretched. When implants were placed submuscular, they are somewhat higher and now the hanging skin on the bottom is excessive. You may benefit from excision of the excess skin on the bottom or another alternative would be that and smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Kind24327,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your implants are too large and heavy for your stretched and thinned tissue. With smaller implants, and possible internal bra, you can achieve a better placement. If you have donor fat, it can be added to help fill the inner breasts.

Douglas Taranow, DO, FACOS · Answer

First, I feel your breasts look much better now (top photo) than before your submuscular revision procedure.  If you are unhappy with the shape, a periareolar breast lift would round out the breasts and elevate the nipple/areola height.
Best wishes.
Dr. Taranow

Mark Eberbach, MD · Answer

Thanks for the pictures.

Your result looks wonderful, not droopy at all.

It may take time to get used to your new improved shape.

Why are my boobs more down than before? Do I need a revision? (Photo)

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