Bottoming out 2 month post op, I have 285cc Microphone Polytech implants, they look very unnatural. (photos)

Question

Hi, I am concerned that my implants are bottoming out and look unnatural with different arm positions. For example, I feel that when I raise my shoulders my implants look very saggy. I have 285cc microthane Polytech implants and my doctor said that everything is looking amazing. I am very skinny, so that may account for the "glued balls to the chest" look as well. I had asymmetric breasts before and he did his best to try and correct that. I will include the before pictures as well.

James Murphy, FRCS(Plast) · Answer

I can see that your implants are sitting very fractionally low, but it is extremely subtle and I would say, given your pre-op photos, that you still have a pretty good result. Repositioning polyurethane coated implants is far from straightforward and my personal advice would be to leave things as they are. You could easily end up with a less pleasing result if you interfere with them and I am sure your surgeon will agree. Sometimes it is best to stick with a good result, rather than take the risk in the name of perfection.

David A. Sieber, MD, FACS · Answer

Thanks for the great question and the photos. In your photos is does look as though your implants are a little too low on the chest wall. This gives the illusion that your nipples are too high. In order to fix this, your surgeon needs to make a new pocket for the implants which is higher on the chest wall. This will not only improve their bottomed out appearance, but it will also recenter the nipple over the implants. Best of luck!~Dr. Sieber

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns after breast augmentation surgery. Sometimes, whether or not breast implants are in appropriate position can be a matter of opinion or preference. If  the distance from your areolar to inframammary fold area seems too long or you wish to have more upper pole volume, revisionary breast surgery involving capsulorraphy (adjustment of the breast implant capsules in the inframammary fold area) may be helpful.  Best to communicate any specific concerns/goals directly with your plastic surgeon; in my practice this communication is best done using goal photographs and computer imaging.
Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 
3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Bottoming out 2 month post op, I have 285cc Microphone Polytech implants, they look very unnatural. (photos)

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