I had a breast augmentation one year ago (round silicone mod+ 275 ml placed partially under the muscle). I had aalso a Benelli breast lift 7 weeks ago. My right will not drop and there is a ridge on lower pole. Is it my muscle creating this deformed line? Its like the implant is hung up on something and my tissues won't cover the bottom half of implant or allow it to relax and drop fully. Basically, my right lower pole is completely deformed. My creases were not lowered and the right is sitting higher than original fold.
A: Benelli mastopexies can cause wrinkles that take time to settle but this looks more than expected
Benelli mastopexies have the advantage of confining the scar to around the areola but problems with early wrinkling of the scar and flattening of the breast from circumferential pressure. In your photos, the deep visible banding exceeds what I would expect from the wrinkling of a Benelli. Instead, it is possible that the increased pressure from the recent mastopexy may have brought out some latent problems with your 1 year old implants. There may have been some underlying degree of capsular contracture that became visible with the breast tightening from your mastopexy. This can be easily confirmed with a physical exam. If a firm underlying band is present, then a capsulotomy with implant exchange may be necessary to correct the underlying problem.