What can I do going forward? Nice cleavage attainable? Areola correction? (Photo)

Question

I had a BA and unilateral lift. They were UTM and way too big (415 HP). I wanted OTM but was told no because of my little breast tissue. I have since explanted (coming on 1 year post op). I would like to try again with a different surgeon in the future with a few things in mind: -could I be a candidate for OTM placement? Better cleavage? Will low profile bring my breasts closer together? - I’d like to fix my lifted areola as the shape seems weird. Can I get a reduction or do I need lollipop?

Daniel Barrett, MD · Answer

Dear Blooming1618,
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

Gary M. Horndeski, MD · Answer

Th technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time or later, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Shana Kalaria, MD · Answer

1) OTM is possible 
2) OTM will give better cleavage
3) Low or low plus profile will bring your breasts closer together
4) An areola reduction is possible

Please meet with a board-certified plastic surgeon with experience in breast revision. Good luck!

Connie Hiers, MD, FACS · Answer

Your photos are not the best to decide if a lift is needed. Measurements are needed to be certain. You can have the implants placed in front of the muscle, but you may notice the implant edge more.  Your breasts sit a little far apart and the bases cannot be moved. Larger implants will help minimize the gap.  The areolar shape can be improved probably with just the peri-areolar incision. A surgeon will be able to help guide you to what would be best.

What can I do going forward? Nice cleavage attainable? Areola correction? (Photo)

Answers (4)

Answer: Breasts

Answer: Breasts

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

What can I do going forward? Nice cleavage attainable? Areola correction? (Photo)

Answers (4)

Answer: Breasts

Answer: Breasts

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.