Can Scarred Tissue Under Breasts Be Removed During Breast Augmentation?

The picture above shows what appears to be active wounds which may contain bacteria that could increase the risk of complications following breast implant augmentation surgery. I would be reluctant to consider surgery in this instance without looking further into the disease state.

Hidradenitis is a chronic and at best irritating problem. I pose that it could be a real detriment to breast augmentation. The reason is that there is a real danger of serious breast cellulitis, when the implant is in place, if you get a flare up of the hidradenitis. Regardless, if you wish to proceed there is no cosmetically appealing way to remove all of the skin of the lower pole of the breast. Excision of the skin and skin grafting will remove this tissue but the scar from the graft... more

Infection and brest implants do not mix. I would treat the hidradenitis first.  Then I would reassess in a few months to make sure no disease process returns before performing a breats augmentation.

This is not a good idea. As these areas harbor bacteria you should not have implants placed while you have these lesions. What it does appear like is that you probably need a lift. I would choose to have the breast lift done on you, probably an anchor or "T" lift which would remove a good deal of this if not all. Let things heal and then in about 6 months you could venture down the path of breast implants. Good luck.

You have 2 problems whose solutions should not be combined. I would recommend dealing with the hidradenitis first. You really should have that under strict control and not anticipate any additional surgery before proceeding with a breast augmentation. You may find that with the amount of skin that needs to be removed due to the scarring the breast implant size may change. Only after you have healed completely from the hidradenitis surgery should you decid upon the augmentation surgery.... more

I certainly would not remove the scars from your HS during a breast augmentation. In fact I would be concerned about placing an implant in your situation at all. You are at a much higher risk for infection of your implant. I think you should consider an analagous tissue transfer which might even be a civered benefit with your HS and significant breast asymmetry.

Dear Leslie, After reviewing your question, I would recommend two (2) separate operations. The first, the surgical treatment of the hidradenitis of the infra-mammary fold. Than after 2 to 3 months have the augmentation through a separate incision like the circum-areolar or axillary. Hope this gives you a plan.

"I have HS (hidranitis suppurtiva), which is a skin disease with no cure or treatment. I have a lot of scars under one of my breasts. The scars start from the bottom of my areola to below the crease of my breast. Can the surgeon remove all of that scarred tissue under my breast during breast augmentation?" Hidradenitis Suppurativa MAY be curable early on with aggressive antibiotic therapy but once it becomes established the only solution is surgical - the removal of all scar and... more

Dear Leslie, Unfortunately, you have a much tougher situation than a regular augmentation. I can tell by your photo that the starting point from your breasts alone is difficult but the hidradenitis adds substantial complexity becasue of the risk of infection to the implant. It would not be possible to remove all of the damaged tissue at the same time as an augmentation and getting you to a great result even without the hidradenitis won't be easy either. I would suggest you contact Dr.... more