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BA 5’8” 130lbs 385cc, High Profile Natrelle Inspira

UPDATED FROM irishrose123
10 months post

Update - what to do?

$9,100
Hi ladies. Well it’s been about 9 months and I am unhappy with my results. I’ve already seen my doctor in person and he recommended moving the crease back up on my left breast and take out some of the scar tissue on the right breast so that is drops more. I am not sure what to do because I am so concerned of making this situation even worse than it already is. Also, I’m not sure I should go back to the same doctor. Anyone have any advice on this? Of course the price is better if I go to my original surgeon but I don’t want to make my decision based on cost. At what point is it better to seek out a new surgeon. Any advice would be very helpful. Thank you.

irishrose123's provider

David E. Kim, MD

David E. Kim, MD

Board Certified Plastic Surgeon

4.5 | 170 Reviews
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Replies (15)

It sounds like you have bottoming out and capsular contracture, which most of the time has nothing to do with the surgeon and is just how you've healed. (I'm not a dr! Just speaking from my own experience). It sucks, I have my 2nd revision scheduled in a few weeks because I've bottomed out twice. This time my ps is putting a mesh in to add extra reinforcement because I apparently have weak breast tissue. Your result really does look good, but trust me I understand wanting it fixed. I'm sure you've done your research on your surgeon, but just really look into reviews to make you 100% comfortable with his abilities. My surgeon has a lot of experience with revisions so that's something that made me feel better. I never looked into these types of issues that could happen so I was really surprised to find how common these problems were.
You have definitely bottomed out in one breast. Bottoming out" occurs when a new implant loses internal support (ithe underlying muscle is too weak or your skin cannot hold it in place properly). This causes it to sink down toward the lower part of the breast area. The most common cause of bottoming out is weakness and a lack of elasticity in the breast tissue or skin, or both. When the tissue is strong and there is healthy elasticity, the breast implant will appear normal and symmetric on the chest wall. When there is weak tissue structure and poor elasticity, it is difficult for the implant to stay at a healthy position and it becomes easier for the implant to drop downward. This weakness can be caused by a number of issues, including a dramatic weight loss, pregnancy, nursing, aging, and smoking. In addition, one of the larger areas of concern for implants that bottom out, is physician error.
The only option to remedy bottoming out implants is to undergo corrective surgery, typically in the form of a breast revision or breast lift procedure. Sometimes (in very extreme cases) before this procedure can take place, you'll need to have your implants removed to let your breast tissue and the pockets heal. To support the weight of the new implant, the surgeon will likely perform some type of reconstruction using an anchoring structure, a matrice, or possibly a graft. The pocket that holds the implant will also be surgically reshaped to hold and support a new implant. I would definitely recommend getting a few different opinions especially if you do not feel comfortable with your current surgeon. I would try to find a PS who is very good a revisions. Good luck please keep us updated.
Also, can you give me the names of a few doctors that are well known for revisions?
Also, if you can shed some light on how to pick a surgeon for a revision, that would be awesome. I am not sure I trust pictures anymore as what I got was very different than what I saw on the website. Again, not sure how much I should attribute my result to my surgeon or if this can happy to any doctor.
Dr Richard Baxter near Seattle, worth any travel
Thank you for your response. The lower breast was actually my higher crease naturally, which the doctor said he would try to lower. So I don’t know if the issue is whether it was lowered too much or if it had actually bottomed out, or if If makes a difference. He said he could raise it by putting in a double row of stitches internally. Anyone familiar with this technique?
Tried to post this in response to Bebe06. :/
Yes I've heard of that technique. It seems to be common practice from what I've seen. They can also try to re-Enforce the new crease with mesh. Both the stitches & the mesh have an effect close to an " internal bra". Honestly It's very hard to determine if it was indeed the surgeon’s fault . Anytime you lower the natural crease they are added risks. It can result in inadequate capsular support of the implant. If the new crease is too weak the implant can slip downward. Also the pec muscle can be pressing downward on the implant keeping it in a lower position. I would recommend getting a few different opinions from other surgeons. Just see what they think & compare your options.
If you look at your pictures you will see this. Pre-op & 1 mth shows how BA only enhances your anatomy. If you look at the change in mth 2, you can see that breast has already started to bottom out. Compare it to mth 1, you can start to see the change happening. Now look at mth 7, you can see it has completely bottomed out esp if you compare it to mth 1 or day 10. Remember our breasts are sisters not twins. Your before breasts had 2 different looks (in size/shape)that is why we get BA, it only enhances what we currently have. Research a few PS in your area or use RS Verified to find someone that specializes in revisions. Def look at b&a and ask to see/contact reviews. Good luck!
UPDATED FROM irishrose123
1 month post

Capsular Contracture?

So I recently hear from my Dr. and he thinks that capsular contracture may be setting in my right breast. I was surprised to hear that because I am less than 2 months post-op and I didn't think it could form that quickly. He put me on accolade (sp?) to hopefully soften the scar tissue. Really hope this makes a difference because they look pretty uneven right now, especially when I raise my arms. I will post-pictures after I have taken the medication for a few weeks. So bummed.

Replies (15)

Hang in there! Hopefully they’re just dropping at different rates. If it’s capsular contracture, I’ve heard Singulair reverses it. Good luck!
Hi there! Congrats on your surgery! I’m sorry to hear you are having some issues though and sorry to hear you’re not happy :( Someone once told me to think this way- even though you had your breasts done at the same time, it’s technically two different surgeries..so they will both heal at different paces. The 12 week mark is the general time when you will be able to judge more of what’s going on. You’re still early in the healing process. I myself did end up getting capsular contracture. My left implant never dropped into place. I needed a minor surgery for him to go back in and drop my implant. I had little down time and all is well :) good luck to you!
hanks for sharing this! I hope a minor surgery is the worst case scenario because I could handle that. I’m on some medication now that might reverse the CC so fingers crossed that it works
I think it’s perfect that you see it now and are handling early on! Your chances of it helping are high :) I noticed mine later like around 6 months and by then it was prob too late. My Dr did tell me to massage and put pressure on that side by putting my bra up on it. Was helping that would push it down and help it settle, but it didn’t help. Maybe check with your Dr if you could try that too along with the med you are taking
I'm nervous the same thing is happening to me on my left breast. Waiting for 3 month appointment (October 17) to confirm. What medication are you tacking to reverse?
Thanks for sharing this! I hope a minor surgery is the worst case scenario because I could handle that. I’m on some medication now that might reverse the CC so fingers crossed that it works.
I had my implants put in July 2017 and my left is encapsulated. I'm hoping to have the surgery to fix it in the next couple of months
Best of luck!! I hope it all works out for you. I started wearing my sports bra like a S shape under my good one and on my high one to help drop it down and i can’t tell if it started to work and drop some and it needs to finish and it’s compressing the implant or if it is starting to cause a snoopy boob. I’m so frustrated!
UPDATED FROM irishrose123
1 month post

Help! What is going on???

I’m about 8 weeks post op and my breasts look so uneven, I’m embarrassed to even show my husband my breasts. I cannot figure out what is going on. I emailed the doctor to ask so hopefully I get a response soon. I feel like crying when I look in the mirror because I hate the way they look right now. The nipples are obviously uneven. I know I had a asymmetry to start with but I am very unhappy with how they look now. I included a picture of my pre op picture and my breast that originally had a higher crease is now lower than the other! Could I be bottoming out?? Please help. Has anyone else gone through this?

Replies (11)

From what i've been reading, all over this website is that it takes at least 6 months for them to drop and fluff. One side may drop way faster than the other. I wouldn't worry too much. But i hope your doctor calls you back to put your mind at ease. They look amazing.
Thanks so much for saying this. I hope you are right! My doctor agrees that one crease is slightly lower than the other but he thinks the issue is more realer to how my nipples are sitting on the breast. Hoping this resolves.
I'm scheduled for my BA on March 15th and my doctor told me that my nipples may not be asymmetrical because they aren't currently and enlarging the breast may make it more obvious. It could be the same in your situation as well? but i really wouldn't worry till you're a little further in your healing. :)
@Chasing - this is true, sometimes using the same size implant w/BA will make your size difference more obvious. That is why most PS will use 2 different size implants to correct asymmetry.
Hi! So I’m experiencing the exact thing as you & we are almost at the same stage in recovery (I’m at 6 weeks). Yours do look great though honestly there’s barely a difference between them. I know how you feel though, like after spending all this money you want to feel that they look 100% perfect. My surgeon just told me to wear a supportive bra after I sent him photo, I won’t be back in his office until March 19. I feel like all anyone is going to tell us is that we need to just wait until they finish dropping. So stressful waiting it out
@aec827 Honestly it’s the truth though about d&f. It can take 6-12 months to complete but some finish in 3, everyone is different. It is very stressful. But just remember we’re all here if you need a shoulder to lean on! ❣️❤️❣️
Aw thank you!! Yeah I just get nervous about everything and drive myself crazy
Dr. Kim is my surgeon too, just wait it out as difficulty as it may be. Depending on the angel/point of view and how my shoulders are aligned, my nipples look a little bit off too but nothing major.
Me!! At least it looks like both have dropped some! My one hasn’t done diddly squat other than soften! So now I’m worried that it’s dropped but just higher than my right and maybe the implant was too big for that side and has no where to go? My surgeon said i looked great at my last appt and I still look the same. At some point I lost faith in the trusting the process and waiting and now I’m panicking that this is it!