Augmentation Revision- New Pocket?

Despite your description, I am not getting a good idea of the nature of the problem, so photos would be essential to those of us trying to offer suggestions. Please consider posting some.

All the best. 

Each surgical option has its own set of indications and there may be several reasonable options for your particular situation....photos of you now and also your goal shape and proportions would be necessary to form an accurate plan.

Dear Luv2xrcise,

Thank you for posting but you will get better advise and more comments with photos.  Its difficult to understand what is going on with your breasts without seeing them.

Best Wishes,

Pablo Prichard, MD

It's difficult to know what your concern is, but it appears that the crease beneath your breast has descended with time. This would result in loss of upper pole fullness, and an increase in distance from the nipple to the inframammary crease. If this were the case, you will need replacement of the implants, and reconstruction of the crease in the correct position. You may not need a new pocket to be created. Bigger implants may not be a good idea, because the added weight may place the crease under additional strain, leading to a recurrence of your issues.

Without seeing photos at a minimum, I could not say what would be best for you. In general, implants do not lift the breasts significantly.

Your description of the implants sliding down may be one of bottoming out of the implant where the nipple starts to point in an upward position.  Depending upon the degree of bottoming out an inferior capsuleopexy may be useful with or without larger implants.  

Without better information we just cannot say what the 'best' plan is for your revision. Pocket issues can be reliabley corrrected, and a larger implant alone can be just fine if you indeed want the extra volume. When two surgeons disagree, collect your idea of the look you want and take the thought back for a second discussion, and if needed a third opinion may be the solution.

It is difficult to give you good advice without direct examination or viewing pictures. However, I think your description is compatible with a breast implant displacement problem. If, on physical examination, your breast implants  have “slid"  away from ideal position on your chest while, you may benefit from adjustment of the breast implant pockets. This procedure will likely involve internal sutures, capsulorraphy surgery. Unlike what you were told by one of your consultants, this procedure can be a long-term solution for many patients.  Based on your communication with your plastic surgeon, the best breast implant size/profile can also be utilized.

 You may benefit from additional in-person consultations by board-certified plastic surgeons. Make sure that the surgeon you select has significant demonstrable experience with revisionary breast surgery. You may find the attached link helpful to you as you learn more about options.

Best wishes.