Will my Incision Site Scars Be Much Worse After a Breast Implant Revision?

I had a breast augmentation about 2 months ago with 300cc salines and they are too big so I am planning on having a revision with 250 cc silicone. I went through the aereola and it has been healing very well. I was wondering if I went through that same incision site again, would the scar be alot worse? I reallly do not want my implants to be noticable. Would I be better off going with the transaxillary incision? Does that incision heal well and is it noticable?

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8 Doctor Answers | Asked by AnnaH8785 in America

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Revision incision

When performing a revision and going through the old scar, the old scar is usually excised and then closed at the end of the procedure. It should heal as well as it did after the first one.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Scars usually good after revision

When a new incision is made through an existing scar, it usually heals just as well if not better. You are not planning to make much of a size change though and it is very early in your recovery so I would advise waiting a few months more and then make sure it is what you want.

Which incision to use for repeat breast implant procedure

If your scars look good right now, using the same site for a new incision makes sense. However, it may be too early to replace 300cc implants for 250cc implants. Give it at least a few more months to allow for tissue swelling to resolve and for the implants to settle. You don't have much to lose by waiting but much to save if you don't need another surgery! Which incision to use for repeat breast implant procedure

Revision at 2 months is too soon

Hopefully you are getting the message from every experienced plastic surgeon here that 2 months is not showing you the final result. It takes 6 months to get there and you will be smaller then than you are now. Also, only going down 50cc may not even show and in general closer to 100 ccs is needed to go up or down to any significant degree. Using the same incision would be best also if you do eventually do a revision.

Breast implant revision after two months is too early, and 50cc is barely noticeable!

As others have stated, you still have some softening, settling, and swelling reduction to occur over the next several months. But even if you are convinced that NOW is the time to re-operate, there are a couple of things to consider: First, your scar has not completely matured and re-operating through the same incision could contribute to slightly more visible scarring (even though the old scar is removed and a "new" scar is created in the same... more

Reusing an around the Nipple (Periareolar) Breast Scar in Revision Breast Surgery

Regarding: "Will my Incision Site Scars Be Much Worse After a Breast Implant Revision? I had a breast augmentation about 2 months ago with 300cc salines and they are too big so I am planning on having a revision with 250 cc silicone. I went through the aereola and it has been healing very well. I was wondering if I went through that same incision site again, would the scar be alot worse? I reallly do not want my implants to be noticable. Would I be better off going with the... more

Deciding to downgrade implants after 2 months is not realistic.

Waiting a few more months before making your decision will possibly save you some worrying. Your breast tissue may be swollen still and the implants may settle more. If you do plan to revise the implant size, stay with the same incision site. Going thru the armpit or thru the belly button may cause the breasts to be uneven. Nipple placement is the most accurate. If you already have scarring, it will not be too much more noticabe depending on the surgeon,... more

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Breast Implant Revision and Scars

At 2 months, you are still in the healing phase and the implants have not fully settled. I recommend women wait at least 6 months before deciding on changing the size of their implants, whether to go smaller or bigger. There is a difference in how the implants look at two months and six months, just as there is a difference between how they look now versus at just one week. If you really do want to change your implants, using the same incision is perfectly fine, especially since you... more