Waterfall deformity? Will a revision help? (photo)

Question

I had a breast lift last November (my PS stated he couldn’t do the size implant that I wanted with the lift because of my skin). So I had a lift in November 2023 and then I did my implants November 6 of this year. I feel like my implants are not dropping or something is off… They look the same as when I first came home, just the swelling is gone. It feels like I have two sets of boobs, like my implant in my real view are not blending together

Gerald Minniti, MD, FACS · Answer

Although your implants may need adjustment (I can't tell with photos, only on examination), you will definitely need a revision breast lift. Your abdominoplasty also needs revising once you are fully healed.

Daniel Barrett, MD · Answer

Dear Anonymous 2222,
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

At this time, I recommend explantation and lift 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 (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Your implants are too large and are still sitting high because there is not enough room for them to drop. Your breasts are still a little low. I would suggest going down in size and profile and repeating the lift.

Waterfall deformity? Will a revision help? (photo)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

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Waterfall deformity? Will a revision help? (photo)

Answers (4)

Answer: Implants

Answer: Implants

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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.