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Botched Tummy Tuck and Breast Lift/augmentation? (photo)

I am very unhappy with the scarring after my surgeries. My doctor has just been telling me to wait and see. I am 7 months post-op. I am also unhappy with the placement of my nipples and have difficulty finding bras that my nipples don't fall out of the top of. I had a tummy tuck w/lipo, and a breast lift and augmentation. I had the surgery because I had a lot of loose skin and stretch marks from childbirth. I am 38 years old. Is a new doctor in order?

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age 35-44 nipples scarring 7 months post-op

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13 Doctor Answers | Asked by SuzieQ78

Doctor Answers (13)
Community Comments (2)

Second opinion?

Thanks Suzie for your questions and photos. I appreciate what you are going through and it is reasonable to get a second opinion. As far as your results, the nipples look high because you have bottomed out and you did not make good scars on the breasts or tummy. Overall, the contour of the breasts and tummy looks pretty reasonable. I don't think its a "botched" surgery. When seeking a second opinion be careful using the word "botched" because that is a turn off for many plastic surgeons. In... more

Aldo Guerra, MD

56 reviews

Scottsdale Plastic Surgeon

Unfavorable Scarring Is Unpredictable

Thank you for your question and photos. From your photos, I believe that you have had a reasonably good result from both procedures. Unfortunately you have some hypertrophic scarring of the tummy tuck incision. This can be managed with silicone sheeting, steroid injections and light and laser treatments to improve the appearance. After 18 months, it can then be revised to improve it further. I would not recommend a revision before then, as it is... more

Concerned about surgical scars and breast results

Thanks for sharing your photos. Even at 7 months post surgery, your scar is still quite early in the maturation process. Your scar has hyperpigmentation which is individual dependent. The central lower abdominoplasty scar is showing some stretching which suggested quite a bit of tension during your abdominal closure. The discoloration generally will continue to get better but often time requires several years to fade. As far as the breasts are concerned, the implants are showing some... more

Prominent scarring after a mommy makeover

Your frustration with the appearance of your incisions is understandable. Unfortunately, even with a perfect surgery, some people form prominent scars because of the unique way that their body heals. Before I went doctor shopping, I would schedule a follow up with your original doctor and ask him or her if they would consider a scar revision of the area to try and improve things. Good luck.

Botched Tummy Tuck and Breast Lift/augmentation?

Thank you for sharing your photos and the narrative. Although I do understand that you would be displeased with the current status of the results, this is not an outcome that I would classify as" botched." Breast The issue here is something called "bottoming out." It is more common with lax skin (as in breast skin in need of a lift) and occurs when the implants stretch out the remaining skin. This can be fixed by revising the lower poles of the breast, and using the... more

Revision surgery may be beneficial

Hello, Thank your for the question and the photos. Depending on what you would like to achieve I think you have several optinos for revision surgery. Your implants would likely benfit from being higher and thereby your nipple/areola complex would be more centered. Revision of the incisions could be performed at the same time. This procedure would essentially be a revision breast lift as well as a revision breast augmentation. Your abdominoplasty may also... more

Bottoming out of breast after SPAIR mastopexy is common and requires revision.

It is too early to be judgemental about your scars even though 7 months seems like a long time. I am guessing that you had a vertical scar only mastopexy. The distance from the areola to the inframmary crease is too long. It will not shorten with time. A revision will be necessary.

Concerns About Mommy Makeover Surgery Results?

Thank you for the question and pictures. Although, the results of your surgery are not ideal, I would not classify the results as “botched”. I think it will be in your best interests to discuss your concerns and goals in a calm and respectful fashion with your plastic surgeon. The use of words such as “botched” are Inflammatory and not helpful. Ask your plastic surgeon to demonstrate examples of similar “problems” he has helped patients with... more

Unhappiness after tummy tuck and breast surgery

Your surgery certainly does not appear botched, but may well benefit from some creams, laser treatments, and possibly relatively minor revisional surgery. Every doctor in RealSelf must occasionally do revisional surgery. This is the nature of surgery. It's your call after a frank discussion with your surgeon whether you like the surgeon's subsequent plan or not, and up to you to choose whom to select for your next procedure, if indeed you decide on that route. more

Not Botched but minor complications

Although you may not be happy with your results I am sure your plastic surgeon is not 100% satisfied either. These are not "botched but things that can occur after tummy tucks and aug-mastopexies. Let's look at ech procedure individually. In regard to the breast I believe the nipples are at a good spot however you have what we called bottomed out. This is where the skin stretches out too much giving a long distance from the inframammary fold to the nipple. This is... more

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Comments (2)

SuzieQ78 4 Dec 2012

Thank you for the comments, I didn't mean to come across as unfair with the use of botched, it was just that my doctor seemed to be unhappy and try to place the blame on me by asking if I had been doing the silicone sheets the way he told me to when I was never prescribed them. He also didn't want to do "after" pictures which made me worried. The breast implants were much larger than I asked for. I really wanted a small c and ended up with a d cup. Overall, I am mostly worried about the scarring and am glad to know there are solutions. Thank you!

SuzieQ78 3 Dec 2012

Thank you for the comment. I inadvertently didn't post the pics of the scars under my breasts which are similar to the middle of the tummy tuck scar. Is there a solution for those as well?

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