2026-07-21
Breast Augmentation Revision Cases (Bottoming Out, Symmastia, Asymmetry)
This article discusses breast augmentation revision surgery, covering cases of bottoming out, symmastia, and asymmetry, and emphasizing the importance of careful planning and expert consultation.
Breast Augmentation Revision Cases (Bottoming Out, Symmastia, Asymmetry)
Hello. Today, I'd like to talk about revision surgery, specifically in the context of breast augmentation. According to a survey by the International Society of Aesthetic Plastic Surgery (ISAPS), breast augmentation and breast lifts are globally popular procedures. In 2023, they ranked 2nd and 5th, respectively. However, this also means that many individuals consider revision surgery due to side effects or dissatisfaction with the results.
Category | 2023 Top 5 Plastic Surgeries | 2021~2022 Top 5 Plastic Surgeries |
Rank / Field | 2nd Breast Augmentation | 1st Breast Augmentation |
Rank / Field | 5th Breast Lift | 5th Breast Lift |
Source: International Society of Aesthetic Plastic Surgery
In this article, we will delve into the necessity and process of breast revision surgery through actual case studies.
When Breast Revision Surgery is Needed
Breast augmentation is one of the cosmetic procedures many women choose. However, some may consider revision surgery due to side effects or unsatisfactory results after the initial surgery.
The main reasons for needing revision surgery are as follows:
Implant displacement and asymmetry – The implant shifts from its correct position, leading to an unbalanced breast shape.
Bottoming out (inferior displacement) and symmastia – The implant sags downwards, or both breasts appear to be joined together.
Implant issues (aging and need for replacement) – The implant is damaged or no longer suitable.
Capsular contracture – The tissue around the implant hardens, causing shape distortion and pain.
Dissatisfaction with size and shape – The desired volume or shape is not achieved, resulting in an unnatural look or a discrepancy from personal expectations.
As such, breast revision surgery can be decided upon to improve cosmetic factors like size or shape, but it may also be necessary to resolve health and functional issues. And what we will examine today are revision cases stemming from concerns about health and functional aspects.
Revision Case 1 - Correction of Bottoming Out and Symmastia
The first case is a patient who underwent revision surgery to correct bottoming out and symmastia.
Symptoms: Breasts sagging downwards and appearing joined together.
Cause: Implant incorrectly positioned during the initial surgery.
Surgical method: Raising the inframammary fold and replacing the implant to improve breast shape.
In this patient's case, the asymmetry and degree of bottoming out were severe, and the breast shape was damaged due to multiple previous surgeries. Melon Plastic Surgery performed revision surgery to correct the breast bottoming out (inferior displacement) and redefine the inframammary fold, achieving a more stable result.
Revision Case 2: Correction of Asymmetrical Breasts
Symptoms: The inframammary fold of the right breast was higher than the left, causing severe asymmetry.
Cause: Textured implant inserted 10 years ago, breast shape changed over time.
Surgical method: Replaced with Motiva implants to improve asymmetry.
In this case, the patient's asymmetry worsened over time after the initial surgery, and she wanted to correct her breast shape to a teardrop form. Melon Plastic Surgery designed a personalized revision surgery, replacing the implants and adjusting the inframammary fold to achieve natural and balanced breasts.
Revision Case 3: BellaGel Implant Replacement
Symptoms: Asymmetry caused by BellaGel implants.
Cause: BellaGel is currently suspended from sale by the Ministry of Food and Drug Safety.
Surgical method: Considering the patient's chest wall height, precisely adjusting implant size to correct asymmetry, and replacing with Motiva Full-type implants to express natural volume.
This patient had BellaGel implants in her initial surgery, and over time, asymmetry and deformation occurred, prompting her desire for a safer implant replacement. Asymmetry was also observed, so after in-depth consultation before surgery, the implant size was adjusted considering the chest wall height, and Motiva Full-type implants were used to achieve natural and voluminous results.
Considerations for Breast Revision Surgery
Breast revision surgery requires more precise and careful planning than the initial surgery.
If the initial surgery involved an inframammary incision, the existing incision line should be used to minimize scarring.
Customized surgery is needed, considering the patient's chest wall structure, skin condition, and existing implants.
Thorough consultation before surgery is essential to accurately understand the patient's expectations and goals.
As such, revision surgery requires a comprehensive approach that goes beyond simple aesthetic improvement, considering safety and functional aspects.
To Those Considering Breast Revision Surgery
Breast revision surgery is not just a simple choice, but an important process to find a better version of yourself. If you are experiencing discomfort contrary to your initial expectations, there is a way to resolve it and achieve satisfactory results.
Most importantly, it is crucial to find the optimal solution for your body through sufficient consultation with a trustworthy medical team. Carefully examine the hospital's experience and post-operative care system, and receive a customized solution that considers your body type and skin condition through consultation with a specialist.
Revision surgery is a process of creating natural and stable results by considering the harmony and function of the breasts.
Melon Plastic Surgery will be with you for a healthy and beautiful transformation.
Today, we've learned more about breast revision surgery. While breast augmentation is a procedure many women choose, many also consider revision surgery due to side effects or unsatisfactory results.
Breast revision surgery is a process that requires careful planning and thorough management, but with the right approach, problems can be resolved, and more natural and satisfactory results can be achieved.
The best way to forget the disappointment of the first surgery is to find a reliable revision surgery.
Those considering breast revision surgery should make a careful decision based on sufficient information and choose the most suitable option to protect both their health and beauty.
Thank you. 😊
Frequently Asked Questions
What are the main reasons for breast revision surgery?
The main reasons for breast revision surgery include implant displacement and asymmetry, bottoming out (inferior displacement) and symmastia, implant issues (aging and need for replacement), capsular contracture, and dissatisfaction with size and shape. These issues may require revision surgery not only for aesthetic improvement but also to resolve health and functional problems.
How are breast bottoming out and symmastia corrected?
Breast bottoming out and symmastia can occur when the implant is incorrectly positioned in the initial surgery. To correct this, surgical methods can be applied to raise the inframammary fold and replace the implant to improve breast shape. Revision surgery can correct bottoming out and redefine the inframammary fold to achieve stable results.
Can asymmetrical breasts be corrected with revision surgery?
Yes, asymmetrical breasts can be corrected with revision surgery. Asymmetry can worsen over time after the first surgery or arise due to implant issues. By precisely adjusting the implant size considering the patient's chest height and replacing it with implants like Motiva, natural and balanced breasts can be achieved.
Are there cases where revision surgery is needed after using Bellagel implants?
Yes, there are cases where revision surgery is needed due to asymmetry or deformation after using Bellagel implants. Since Bellagel is currently a product whose sale has been suspended by the Ministry of Food and Drug Safety, revision surgery can be considered if you wish to replace it with a safer implant. In such cases, the implant size is adjusted considering the chest height, and a new implant is used for replacement.
What should be considered during breast revision surgery?
Breast revision surgery requires a more precise and careful plan than the initial surgery. It is important to minimize scars by utilizing existing incision lines and to perform customized surgery considering the patient's chest structure, skin condition, and existing implants. Thorough consultation before surgery is essential to accurately understand the patient's expectations and goals.