"I think the implants might be too big for my frame or I need a different style implant. My PS insisted that 550cc would be fine for my frame. I was a 32A before my surgery and was excited to have bigger boobs. I can’t look at misled in the mirror and I won’t even let my husband look at me topless. I’m so unhappy and I want to cry every time I look at them. Can a thong bra help? Or do I need a revision?"
DR. POUSTI: Is it too late for a thong bra? My skin has raised between my boobs after my breast augmentation.
You are correct in that your breast implants are quite close to the mid line and some skin elevation (tenting) is present. I do not think that the thong bra or any other type of garment will help with the skin tenting.
If, in the long-term, your breast implant positioning is a concern, I would recommend medial capsulorrhaphy for correction of implant mal-position.
In my practice, having used a variety of “techniques” for correction of implant displacement, I find that the most reliable technique involves a 2 layer capsulorrhaphy (internal suture repair of the breast implant pockets along the cleavage area). Often, the use of acellular dermal matrix is helpful also. I have also been pleased with the (at least partial) correction of skin tenting that can be achieved with the use of the acellular dermal matrix.
Often, it is necessary to “open” (reverse capsulotomy) the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line. I also find that careful attention to postoperative activity restrictions is key to success with this type of surgery and other types of implant malposition revisionary breast surgery.
I hope this and the link/video below are helpful.