What is wrong with my breasts? Need a 2nd opinion (Photo)

Question

Stats: Dualplane, 255cc smooth round mod profile, ~6wkspo by a board certified surgeon in NJ. My surgeon said my breasts are not going to change much anymore. He said there are no complications with either breasts but they are different to each other and would like to do a revision to one of them. Because my right (left in photos) resembles the wish boobs I showed him preop, he suggested to do the revision on my left (right in photos) to match it. What are your thoughts?

Bora Ok, MD · Answer

Hi from Istanbul! It appears that the natural asymmetry in your breast folds, present before the surgery, could be contributing to the differences you're observing. Adjusting the breast fold on the left side, possibly by using a slightly larger implant, about 25 cc bigger, might help achieve a more balanced and symmetrical appearance between the two breasts. However, this suggestion is based on a general observation. A detailed examination by your surgeon is crucial to determine the most appropriate course of action for a revision. Hope this helps, best of luck to you.

Wayne I. Yamahata, MD · Answer

The asymmetry is apparent and could be improved by repositioning either implant. I personally would favor treating the right breast. The reason being that the photos with your arms raise suggest you are on the verge of bottoming out, and this would give you an opportunity to treat this before it develops.

Gary M. Horndeski, MD · Answer

Your right breast implant has bottomed out, moving down the chest wall and will continue to do so. Also, your implants are wider than your chest wall. You need more high profile and smaller volume implants. You will need a revision with plication or repair of the inferior portion of the pocket of the right breast to position it higher with smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

I would revise the one breast with the higher nipple and lower sitting implant.  That implant has bottomed out. Once it is in place, your nipple will probably be fine.

Mark Eberbach, MD · Answer

The first question is, which one do you like better? Both are pretty, but they are different. Therefore the solution depends on your preference which one you like best.

The right Brian plant is slightly lower than the left one. If you prefer your left breast than a capsule or fee will be needed on the right. If you like the right breast better than you will need a lower pole crease reduction on the left.

Good luck

Jason Pozner, MD · Answer

The right fold (left looking at photo)  is lower than the left. I would repair the fold with galaflex mesh. The nipple will come down a bit matching the other with the fold repair.

Darryl J. Blinski, MD · Answer

Based on your posted photos, the implants were of incorrect sizing since you were volume a symmetric preoperatively. I recommend exchange implants to correct volumes and capsule release of the smaller breast. Expect fees to be $10,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

All the women have some asymmetry of their breast. It’s common for the left breast to sit slightly higher on the chest wall than the right side. Recognize the plastic surgeons cannot move our breast positions on the chest wall. The implant should be placed in the anatomic correct position Based on each individual breast. From the pictures you’ve included, it looks to me like your right implant sits too low and is on the verge of bottoming out. If the infra memory fold has been violated, and implants begin to bottom out, then the condition can become worse overtime Due to gravity And contraction of the pectoralis muscle if the implants are sub pectoral.To me, the left breast is the one that looks fine and the right side is the one that’s going to create problems down the road. The right breast already shows more breast tissue below your nipple, which is a sign of the implant bottoming out.
Personally, I would not revise the left side, but would consider reinforcing the right side if it bothers you, or if the breast position continues to slide down.
Implants that bottom out can become difficult to manage with revision surgery and correcting this problem is not always easy or straightforward.
To get a proper second opinion consultation, I suggest scheduling those as in person consultations with other providers in your community. For a second opinion consultation, come prepared bringing with you a complete set of before and after pictures and a copy of your operative report. These are part of your medical records and you can get them if you request them from your current providers office.
Best,
Mats Hagstrom, MD.

What is wrong with my breasts? Need a 2nd opinion (Photo)

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