Breast Augmentation: Q&A
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Does the Breast Augmentation Need Some Kind of Revision? (photo)
I am now about 6 months post op from a breast lift and augmentation. My left breast is fuller and sits a little higher than the right. I knew i would have some scarring from the lift and I was prepared for the vertical line, but is all that black scarring common? I wasn't expecting that at all. I had a tummy tuck a few years ago and you can barely see the scar at all. Am i being too paranoid or does this look bad?
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10 Doctor Answers |
Asked by
lms0119
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Hello
In my professional opinion it looks like you have great looking results. You didn’t mention why you thought you needed a revision? You can use scar therapy to help improve your scars if that bothers you.
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Breast aug revision?
Your surgeon has done you right! What a beautiful result you have gotten. Breast augmentation and a lift procedure at the same time in my opinion is one of the hardest operations we have to perform. It is hard because you are changing so many variables at one time. You are changing the size of the breast, the position of the breast on the chest wall, the position of the nipple and areola, the shape of the breast and on and on.... Because of that it is nearly impossible to make two breasts...
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Does the Breast Augmentation Need Some Kind of Revision?
Thanks for the question and for posting excellent photos.
I find the overall outcome is very good. What seems an appropriate issue is the pigment along the vertical scar. This is not bad scarring, and is not comparable to the scar from you tummy tuck.
This is residual pigment from your areolae. Before surgery, your areolae were so large that the patterns we use to redrape the skin had to include some of the pigmented skin--it was not possible to remove it all and still have...
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Does the Breast Augmentation Need Some Kind of Revision?
Great question and excellent posting of the photos! This demonstrates a poor informed consent issue. In your before photos you have very large areolae. Thus the lift technique has left a residual areolar dark pigmented areas in the vertical scar. After more healing an attempted scar revision to try and eliminate this residual areolar pigment can be attempted. Unfortunately you where not informed in your pre operative discussion of this possibility.
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Residual areola is present adjacent to the vertical scars!
Your surgeon did a nice job and has given you a nice shape and precisely-closed incisions leading to good scars. But your large areolas pre-operatively led your surgeon to make the judgement that s/he could not remove the excess areola pigmentation without removal of skin needed for your best breast shape.
Now that things are well-healed, revision can be performed and the remaining darker-pigmented skin removed. Costs for touch-up or revisionary surgery should have been discussed prior...
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“Dark Scarring” after Breast Augmentation/Mastopexy?
Thank you for the question and pictures.
Unless you have some concerns that are not visible on your pictures, I think you should leave your breasts alone (from the surgical standpoint). The “black scarring” that you see is residual dark areola skin (left over from your original large areola size). This pigment is still present because it is not possible to remove it completely during the breast augmentation/mastopexy operation, without distorting the breasts...
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Breast scarring in black patient
Six months is not full healing so I would give it more time for the tissue to relax and the scarring to possibly fade. Scar revision can be performed at a later date but, in the initial operation, the goals of the lift/augment have been fulfilled.
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Pigment and breast appearance
The pigment is most likely from the large areolas that you had. As things relax, this tissue may be able to be removed.
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Revision of augment mastopexy scar
Agree you have a very nice result and that the dark skin is from your areolas. Wait a few more months to let your skin relax more and then you could consider revising the scar to remove the remaining pigmented skin. This could be easily done under local anesthesia if it bothers you.
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Is any revision needed?
Thank you for posting your before and after photos. I do think you have a pretty good result. The reason why you have pigmentation along your incision is this: if you look at your before photo, you had very large areolas. It is likely that some of that darker areolar pigment remained along your incision. hence the darker color along your vertical scar. You may have some minor asymmetries. You likely had these before your surgery. Remember,...
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