Q: My breast augmentation was just 15 months ago. The right breast never seemed to fully “drop”, however, and I’ve been told I need revision. The original doctor said he would go in and cut/release the muscle to let implant drop. A 2nd opinion said it is contracture and should score the tissue instead. Are these two ways to get same result? Are these diagnoses very different? I cannot tell and don’t know what to do.
Thanks for posting your pictures. From observing your pictures, you have significant problems on both sides:
Left side: medial capsule contracture creating wide cleavage and lateral displacement of the implant. The corrective procedures are medial capsulotomy (scar release) and lateral capsulorrhaphy (internal bra).
Right side: severe capsule contracture and smaller breast. If the breast is very hard, you will need capsulectomy (scar excision) and replacement of implant due to ‘biofilm’. If it is not very hard, just capsulotomy will suffice. The implant should be replaced anyhow, for size symmetry.
The procedures on both breasts should be done through sub areola incisions, which make the maneuvers and the dissections easier and more predictable, since they are done under direct vision and feel. Submammary or axillary approach is too far for comfort and consistency.
As you can see from your own experience, not all results are the same. Experience, technical skills, and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.
Always, consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and natural looks.