I had an implant rip through my right breast at 23. I am now looking into fixing my deformed chest. I know this does not happen often so I am having a difficult time finding pictures of any one with this issue then putting implants back in to try to fix the lack of tissue and scar. I can add pictures if you would like.
Can a Breast Implant Fix the 15 Year Old Extrusion Scar I Have? What Can I Expect As my Result? (photo)
Doctor Answers (17)
Just don't go too big
The photo you sent does show some breast and chest tissue and skin -- just be reasonable and don't try to go too big or you may have the same problem again.
Fat grafting works for improving tethered scars
As some of the previous surgeons have replied, you will likely need a series of procedures to improve your tethered breast scar. A popular technique for improving the appearance of a tethered scar and to improve the quality of the overlying skin is to undermine the tissue under the scar, which releases it, and then inject your own liposuctioned fat into the undermined area. This fat grafting can take several sessions to improve the contour and appearance of your scar. Ultimately, a breast augmentation can be performed once the scar has been corrected. Again, it is difficult to provide more specific details without a proper history and exam. A board certified plastic surgeon who performs breast reconstruction and fat grafting routinely should be able to assist you with your issue. Best wishes in achieving your goal.
Secondary breast augmentation
I have had he opportunity to work with a few women such as yourself who have presented to me for secondary breast augmentation after an extrusion. I would agree that it is usually possible to reaugment with good to excellent results but you have to be evaluated in person. I would need to perform a physical examination to determine how thick or thin the tissues are at the previous extrusion sight. Sometimes a scar revision is necessary, sometimes not. The important thing is it has been enough time since your extrusion that the scar tissue has matured and you can proceed at any time. That scar maturation usually takes anywhere from 4-12 months. Best of luck.
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Implant Extrusion and Correction
Thank you for your question.
It is difficult to comment specifically without pictures at a minimum. Of course, the only way to make a definitive recommendation is with an in person consultation. That being said- it is likely that an implant and/or a revision of your scar would make a significant improvement for you.
Can a Breast Implant Fix the 15 Year Old Extrusion Scar I Have? What Can I Expect As my Result?
Thank you for your question. For a specific answer, photos would help. However, in general, yes, a good result is obtainable even in some extreme cases. The following web link is an example that may help you.
Pablo Prichard, MD
Reconstruction of a depressed scar of the breast
If you have a depressed scar of the breast due to the implant extrusion I would imagine that a scar revision would help. At the same time you could consider a re-augmentation.
Chest scars can be fixed!
A breast implant extrusion (albeit it a rare complication) can leave a bad scar behind, as you have unfrotunately discovered. It is possible, however, to improve the cosmetic result with either a scar revision, or a combination of scar revision with implant placement/exchange. It will be difficult for you to find pictues of this complication and corrective surgery online, mostly do to it's uncommon nature. I would suggest finding a plastic surgeon who has significant breast surgery experience and going in for a consultation. The only way for you to really get the answers you are looking for is by a face to face meeting and examination. Even posting pictures online and asking for advice will not give you an in-depth analysis and level of comfort. Good luck!
Re-augmentation of breast after extrusion of an implant
Thank you for your question and photo. In brief, yes, this is a problem that can be fixed. As you will find out, there will be many different ways to approach this problem. There is no absolute "best" procedure to fix your problem. A surgeon will need to perform an examination to determine the quality of the tissue, how tethered the scar is to the deeper tissues and the laxity of the skin envelope. Additional scar releases will likely be needed within the breast tissue itself, but the bottom line is that you are a candidate for replacement of your implants and you generally should be able to obtain a good result. Seek out a board certified plastic surgeon who you feel comfortable with and I'm sure they will take good care of you.
Best of luck.
Extrusion scar and wanting reaugmentation
You should be able to do this but anticipate some kind of scar revision and even better, if you've developed some droopiness, how the tissue could potentially be incorporated into adding thickness to your inferior pole. You want a creative solution to your problem and a face to face exam would allow your surgeon the best opportunity to come up with a solution.
Breast Scar Revision
Without seeing pictures or seeing you in person, it is impossible to give you specific advice. It may well be that breast implants will be the right option. However, fat grafting may be a good option as well. Or, just scar revision. With photos and/or a consultation, we can give you more information.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.