Is it possible to fix my right breast? (Photo)

Question

Hi, i did my Breast Augmentation surgery a five years ago. As you see they are uneven. Please, give me some advise how i can fix them? Can i just fix one of them or i have to re do both of them? Thank you.

Wayne I. Yamahata, MD · Answer

Your breasts are visibly asymmetric. It should be possible to improve this by repositioning one or both breasts. To determine the best solution would require an in person physical examination. if possible, I would suggest a return visit to your original surgeon. Most surgeons will work hard to correct a problem when they occur on their own patients.

Gianfranco Frojo, MD · Answer

This may require a physical exam to truly determine what is happening here. This could be implant malposition on the left or capsular contracture on the right (or both). In addition, it could be uneven implants placed into uneven pockets (or both). I recommend finding a board-eligible or board-certified plastic surgeon with aesthetic fellowship training.

Daniel Barrett, MD · Answer

Dear Krasotka968,
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

Jeremy S. Nikfarjam, MD · Answer

Hi Krasotka,
I'm sorry to hear of your complication! I wonder if this asymmetry was present immediately after surgery? Or if it's something that occurred a bit down the line?Either way, you may need some repair of the breast pocket. The breast implant should be nestled in a pocket withing the breast tissue and sometimes that pocket loses its integrity somehow.
I wish you the best of luck in your search for treatment!
-Dr. Nik

Robert M. Wald, Jr., MD · Answer

The left breast has bottomed out. That is, it has fallen. This happens occasionally and can be improved. This surgery will reconstruct the left breast infra mammary fold to the proper level. You don't have to do the right breast. I would suggest you discuss this with your surgeon.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to breast revision surgery.  In your case, you definitely can be fixed.  I would perform an internal bra-capsulorrhaphy for procedure on the left breast and possibly a capsulotomy/opening the pocket on the of the right breast.  I actually wrote the very first paper on capsulorrhaphy over 20 years ago.  Best wishes to you.

Sean T. Lille, MD · Answer

Dear Krasotka968,
Have they always been this uneven?  If not, It appears that the left implant has dropped and the skin below the nipple has expanded. Your surgeon should be able to go back and raise that fold/crease back up to its starting point. Of course, they will never be exact. Good Luck!!

Connie Hiers, MD, FACS · Answer

One implant has bottomed out due to the weight. The inferior pocket can be tightened and raised and may need support with mesh. With bottoming out, it is best to go down in size. Going down will need to revise both breasts.

Jason Pozner, MD · Answer

You have a fold malposition - the implant dropped below the fold. I would correct this using Galaflex mesh. You could only do the lower side if you were happy with the size

Is it possible to fix my right breast? (Photo)

Answers (9)

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