Breast Augmentation Revision
Q: Dr. Eppley, I am interested in a breast augmentation revision. I currently have high profile 800cc silicone gel implants under the muscle. They are too big so I want smaller implants and a moderate profile. I have terrible scarring from an attempted perirareolar lift. My areolas are larger than my hands when I place them over it. I really want to resolve this issue after having this insecurity about my breasts for several years since the surgery.
A: Thank you for sending your pictures. I am assuming based on these pictures that these large implants and the periareolar lift were done in attempt to correct some breast sagging and thus avoid the scarring from either a vertical or full breast lifts. Given your present breast situation you have two breast augmentation revision options which would be highly influenced by how much implant size reduction you want. The options would be:
1) Downsize implants slightly (100 to 150cc) and do a large periareolar reduction. This will still leave your breasts with some sag and downward projection but would avoid any further extent of scarring.
2) Downsize your implant more significantly and do a vertical or a more complete vertical-horizontal type breast lift. This will create a more uplifted and smaller breast shape but with scars on the lower breast mound/ (but also with much smaller areolas as well)
Dr. Barry Eppley