Are the revision results I want achievable? (Photo)

I would recommend deflating the implants prior in the office to permit soft tissue rest/recoil. At least 1 month later, we would go to the OR for removal of the saline implant shell, placement of a new silicone form stable implant with Galaflex and perform a breast lift. In my opinion, this would create the best looking natural breasts.

Dear Passionate356882,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your goal will require removal of current implants, pocket tightening on the droopier side with reinforcement from mesh, replacement with new and possibly larger implants, and a true breast lift, not the circumareolar type that you initially received. No guarantees of perfection, but your goal would be obtained with great results.

510 cc implants weigh over 1 lb. each and have descended inferiorly and laterally. At this time, I recommend explantation and 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, implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

You are past the point of achieving that look. For that look, you will have to go larger and get a lift. However, with additional weight, your own tissue will not support that heavy weight, and you will just stretch and thin your own tissue even more and sag again. Your tissue is not supporting what you have now. I would suggest going smaller, have a lift and mesh, and have a much more stable result.

At this point your situation is a bit complex and in order to get you a quality assessment we need very accurate information.
Ideally, that should include access to an operative report from your first procedure and before and after pictures.
It would be very important to know if your implants were placed under the pectoralis muscles or above.
It would also be very important to know if you’ve had revision surgery or if this is the outcome of your first operation.
You will definitely need a breast lift on both breasts and working with excessively large implants is going to increase the chance of Secondary complications and need for further revision surgery.
The result you’re looking for may not be a wise plan in regards to long term success.
I suggest having in person consultations with plastic surgeons in your community.
If you don’t have before and after pictures, then try to get those from your previous provider.
We should also try to get copies of your previous operative reports.
Best,
Mats Hagstrom, MD