The reasons for having a revision breast augmentation can range from the desire for an “upsize” or “downsize,” improvement of the breast shape and symmetry, and to implant-related issues.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a series of Snapchat video showcasing a patient seeking revision breast augmentation to correct these three aesthetic issues:
- Asymmetric breast fold. The right breast has its submammary crease settling lower compared to the other side due to implant sagging. Dr. Smiley said repairing the implant pocket during a revision surgery, along with correct implant selection, can solve this problem.
- Lack of upper pole fullness. The bottoming out of the right implant has an inverse effect on the upper breast pole as it now lacks fullness (only 10-15 percent of the total breast volume). Dr. Smiley said the aim is to allocate at least 30 percent volume to this area, resulting in a more natural, youthful appearance.
- Desire for bigger implants. The patient has expressed her desire for bigger implants without resulting in a top-heavy or unnatural look. Smiley said that physical exam is the first and most critical step to ensure that the surgery can achieve such goal.
During breast exam, Dr. Smiley measured the base of the breast and told the patient that her anatomy would only allow implants whose width is not more than 13 cm due to her narrow chest. Going beyond the anatomy, he warned, can lead to a myriad of problems such as uniboob appearance, excessive lateral bulge, implant wrinkling, and other telltale signs of the surgery.
One possible way to create a bigger appearance without resulting in the aforementioned problems is to use high profile implants, which offer the most forward projection—i.e., they stick out more from the chest wall—relative to their [narrow] width.
To further promote natural results, the patient is deemed as a good candidate for silicone breast implants, which are noted for their more natural feel and shape than saline implants.