I had a breast lift done 4 months ago and they look horrible my nipples are uneven my implant I can feel the bottom and I have these pockets of fat that hang down and cause a lot of issues I can’t find bras to fit anymore and it looks really bad also my nipples seem high how can I fix this ?
Answer: Bottoming Out / Internal Bra Repair Good morning! You do have some bottoming out on both sides. In terms of correction, this is the most common repair I perform, 5-6 times a week. I use the Internal Bra, my strong permanent internal suturing technique which corrects your bottoming out and double bubble and provides excellent long term support for your implants.
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Answer: Bottoming Out / Internal Bra Repair Good morning! You do have some bottoming out on both sides. In terms of correction, this is the most common repair I perform, 5-6 times a week. I use the Internal Bra, my strong permanent internal suturing technique which corrects your bottoming out and double bubble and provides excellent long term support for your implants.
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April 7, 2019
Answer: I need a revision to fix a bad breast lift, what are my options? I am sorry to hear about/see the problems you are having after breast surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”). Consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. Generally, signs of breast implant bottoming out include: 1. Breast implant "sits" too low on the chest wall. 2. Excessive palpability or visibility of the breast implant along the lower breast pole. 3. Nipple/areola complex seems to be sitting relatively high, because the breast implants have settled too low. 4. Discomfort along the lower breast pole (secondary to pressure from the underlying implant). 5. Relative paucity of upper pole breast implant volume compared to lower pole volume. 6. Increased visibility of a infra mammary fold scar (higher on the breast mound). I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes and visibility of the inframmammary fold scars should improve with this operation.There are several important "factors" involved in this type of revisionary breast surgery. Most important (in my opinion): plastic surgeon experience level. In other words, experience level and technical expertise play the biggest role when it comes to successful outcomes with this type of revisionary breast surgery. In other words, make sure you select a board certified plastic surgeon who can demonstrate lots of experience helping patients with this type of revisionary breast surgery. Careful attention to postoperative activity limitations as well as use of appropriate postoperative support of dressing/garments are also important. I hope this helps.
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April 7, 2019
Answer: I need a revision to fix a bad breast lift, what are my options? I am sorry to hear about/see the problems you are having after breast surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”). Consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. Generally, signs of breast implant bottoming out include: 1. Breast implant "sits" too low on the chest wall. 2. Excessive palpability or visibility of the breast implant along the lower breast pole. 3. Nipple/areola complex seems to be sitting relatively high, because the breast implants have settled too low. 4. Discomfort along the lower breast pole (secondary to pressure from the underlying implant). 5. Relative paucity of upper pole breast implant volume compared to lower pole volume. 6. Increased visibility of a infra mammary fold scar (higher on the breast mound). I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes and visibility of the inframmammary fold scars should improve with this operation.There are several important "factors" involved in this type of revisionary breast surgery. Most important (in my opinion): plastic surgeon experience level. In other words, experience level and technical expertise play the biggest role when it comes to successful outcomes with this type of revisionary breast surgery. In other words, make sure you select a board certified plastic surgeon who can demonstrate lots of experience helping patients with this type of revisionary breast surgery. Careful attention to postoperative activity limitations as well as use of appropriate postoperative support of dressing/garments are also important. I hope this helps.
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April 7, 2019
Answer: Breast lift implant Dear Angie2193Thank you for your question and photos! I am sorry that you are unhappy. An in person consult would be best to assess what can be done . Your photos prior to this last surgery , the details of the implant and the implant position.With Warm RegardsTrevor M Born MD
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April 7, 2019
Answer: Breast lift implant Dear Angie2193Thank you for your question and photos! I am sorry that you are unhappy. An in person consult would be best to assess what can be done . Your photos prior to this last surgery , the details of the implant and the implant position.With Warm RegardsTrevor M Born MD
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April 7, 2019
Answer: Explant and The Bellesoma Lift Your results are typical of the traditional anchor lift and your implant has bottomed out. The technique I recommend is explantation 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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April 7, 2019
Answer: Explant and The Bellesoma Lift Your results are typical of the traditional anchor lift and your implant has bottomed out. The technique I recommend is explantation 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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April 6, 2019
Answer: Breast problems What I noticed right away are that your implants appear quite large. I would want to know what size they are. I would also have to take specific measurements on the nipple location to determine if they need to be relocated. Hopefully they don’t. The lower portion of he breasts appear to need tightening which works easier with a smaller implant. It’s a complex case so I recommend you go to someone in your area who specializes in revision breast surgery. Best of luck.
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April 6, 2019
Answer: Breast problems What I noticed right away are that your implants appear quite large. I would want to know what size they are. I would also have to take specific measurements on the nipple location to determine if they need to be relocated. Hopefully they don’t. The lower portion of he breasts appear to need tightening which works easier with a smaller implant. It’s a complex case so I recommend you go to someone in your area who specializes in revision breast surgery. Best of luck.
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