Emily C. Wirtz, MD

Breasts progress through a very normal and relatively predictable change in shape from the immediate post op period through the first year after surgery. At first, breasts are swollen, ride high on the chest wall and may resemble an augmentation. This settles in the first 1-3 months, and the breast resumes a more natural slope with the majority of the breast tissue at the level of the areola and below. Usually these changes stabilize between 3-6 months post-op and any additional changes are slight. This suggests that the results you see today are as close to the final result that you will be after your surgery. If the appearance of your breasts today are not satisfactory to you, you may want to consider sharing your concerns with your surgeon and discussing options. Addressing these concerns will likely require a discussion about surgical options.

Thanks for your question THolland, any time a patient has a finding that may impact bleeding risk, I recommend consulting with a hematologist prior to your surgery. This specialist is trained in different types of bleeding and clotting disorders and will be able to give you the best idea of your risks with elective surgery, as well as make recommendations about how to mitigate those risks.
Hematoma after breast biopsy is not uncommon, but can raise concern about bleeding risk for future procedures.
In your case, MTHFR mutation may actually increase your risk of having blood clots after surgery. I highly recommend you discuss this with both your surgeon and a hematologist prior to your surgery.
Best of luck with your journey!
- Emily Wirtz, MD

Hi watermelon6319, assuming you have healed fully from your laparotomy, and that you have obtained a form of clearance from the surgeon who performed your procedure, you may be a candidate for abdominoplasty surgery. It’s important that the original condition has been fully treated or is stabilized, and that you are back to your baseline health before putting your body through another demanding surgery. Skin removal with abdominoplasty can remove a significant portion of the scar in the photographs, but you may still be left with a short vertical scar right above the pubic area.