Do I have star gazing pseudoptosis and are my implants too small and narrow? (photos)

Question

I had high profile 300 cc three months ago. I wanted to go bigger but doctor said it didn't fit. One of the doctors online by looking at pictures said that it looks like i developed star gazing pseudoptosis and that my implants are too small and narrow. To be honest I don't understand what it is and what it means. Do you agree that i have star gazing pseudoptosis? if so what is it and how can it be fixed? or if you have any other concerns in regard to my implants please let me know. Thank you!

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us. 3 months after Breast Augmentation, it's not time enough to express a valid opinion of results.it's not advisable to carry weight and take the antiinflamatory painkillers drugs.Finally, I recommend you always use a therapeutic bra. I recommend you to talk with your plastic surgeon and tell him what is going on, also follow his advices.Respectfully,Dr. Emmanuel Mallol Cotes.-

David A. Caplin, MD · Answer

Your arms and shoulders are held fairly far back in these photos.  This tends to make the nipples sit higher on the breast mound but overall this result looks quite good. I would certainly give your breasts some more time to heal and see how you feel about the result in another 3 months.  Going larger and changing the implant position is always a possibility but, hopefully, it won't be necessary.  Make sure you continue the dialogue with your surgeon.

Gary Lawton, MD, FACS · Answer

I would say that you have a nice outcome and neither star gazing pseudoptosis nor implants that are to narrow,  With respect to size, there is no such thing as it doesn't fit.  If you wanted larger you should have insisted or found another plastic surgeon.  It is your body.  If you are unhappy with your size go back and express this with the surgeon and explain that they chose your implant size and it is not big enough for you.  If they are legitimate they will listen to your concerns and do whatever it takes to make you happy.

Farah Naz Khan, MD · Answer

I think the more important question is if you are happy with your results! Your implants fit you but if you want to go larger, best to consult with your operating surgeon to see when would be a good time to "upsize". Star gazing refers to nipples that are too high on the breast mound but your lateral picture seems to show your nipple just above the fold.

Nana N. Mizuguchi, MD, FACS · Answer

Ideally, you want your nipple/areola complex on the meridian or the central portion of your breast mound.  In reality, most people are no where near that and have great looking breasts.  A lower nipple/areola complex is better tolerated than a high nipple/areola complex even though  a higher one looks perky.  Higher nipple/areola complexes are often referred as star gazers.  I really don't think it is a bad thing but in certain bikini tops, it may be hard to cover the areola because it will be at the narrowest part.The real question is wether you like your breasts.  I am sure that your present results can be predicted from your preoperative anatomy.  Larger wider breast implants can close your space between your breasts.  The Inspira breast implants will give you more fullness at the top.   If you want to stay the same size, fold tightening and fold resection will help.Overall, this not a difficult problem to resolve if you are unhappy.  Best Wishes,nana Mizuguchi

Steven Wallach, MD · Answer

Not sure which is the newest photo. If it is the one in the upper right, then I would say you have some bottoming out. This can be repaired with additional surgery at some point.

Sanjiv Kayastha, MD · Answer

I think that you have a very nice result. The pictures are taken at different angles, but on the head on one it does not look like you have bottoming out or pseudoptosis

Ralph R. Garramone, MD · Answer

I would say that if you look at your preoperative photo you would notice a relatively long distance from the nipple to the fold under the breast. The photos you posted are all after surgery from different angles and what you notice is a relatively long distance from the nipple to the fold same as before.  That is just the shape of your breast.  I don't think there is anything wrong with it so it shouldn't have a name.As far as the size is concerned, are you happy with the size.  I think it looks good.  Size is a personal decision. Be happy with your decision and enjoy your new look.Best of luck.

Darryl J. Blinski, MD · Answer

Appears as slight bottoming but only in person second opinion examinations count! ...................

Ciro Adamo, PhD, MD · Answer

You should always take online advice with a pinch of salt, as it comes from doctors that didn't have the chance to see you in person and whose experience may greatly vary.Personally, I wouldn't say that your implants are too small, and I don't think that you  have star gazing pseudo ptosis.Looking at the position of your scars, which is slightly above the fold, it is possible that your implants came lower, or were positioned a tiny bit too low. This can be corrected if it bothers you, repositioning the submammary crease at the level of the scars. Other than this minor issue, I would say you have got a good result.

Do I have star gazing pseudoptosis and are my implants too small and narrow? (photos)

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