Breast Implant Revision
Q: Dr. Eppley, I am interested in breast implant revision. I currently have saline implants below the muscle. I believe they are around 350 to 400 cc. As you can see in the attached pictures my breasts are asymmetric. They increasingly got worst as the capsulation increased. My goal would be to improve this. I’m not young any more so I don’t expect the 25 year perky breast but if the right one could be freed up from the scar tissue to drop and better match the left, I would not be so embarrassed by them. Or, two new ones that matched and didn’t point down at my toes would work too.
A: Thank you for sending your pictures. You are correct in that you have a right breast implant contracture (Grade III) which is the major source of your breast asymmetry. But you also have a Grade III/IV ptosis. (breast sagging) The ptosis plays a major role in defining your two breast implant revision options.
If you choose to live with the ptosis then you could have a right implant capsulectomy and the implant could be made to drop lower. This would be the simplest and most economical approach but also the least aesthetically pleasing one.
Conversely the complete opposite and more comprehensive approach would be to have full breast lifts done with new implants and the aforementioned capsulectomy. This is the most aesthetic approach but is also the most extensive.
As you can see your breast sagging plays a major role in your breast implant asymmetry correction decision.
Dr. Barry Eppley