Revision to correct implant that did not drop - do revisions like this usually go well?

Question

At post op 8 weeks I have one breast that is round and one that has not dropped and is very rectangle shaped. My surgeon says it will not correct on its own due to my chest wall anatomy. He wants to go back in and remove the implant, cut a few muscles and then put the same implant back in. My question is, is this common? Do revisions like this usually go well? Im concerned that if i do it it will end up worse than it already is!

Daniel Barrett, MD · Answer

Dear Tjcc8656,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Chest wall anatomy can prevent implants from dropping in certain women, and revisions may be needed.  Your surgeon does have to work with your chest bone structure.

Camille Cash, MD · Answer

I'm sorry to hear of the issues from your breast augmentation.  Typically implants will drop into the pocket within 6 weeks of surgery, however it does take longer for some.  It can occur for a number of reasons but is generally fixable with surgery.  If your surgeon does not feel you will see improvement without intervention, the surgical correction should allow the implant to be placed correctly.

Revision to correct implant that did not drop - do revisions like this usually go well?

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