Strange lateral chest folds after reduction

Question

In some breast reduction results photos there appears to be a new fold of flab created by the procedure at the side of the breasts. Is this swelling, or the result of poor craftsmanship?

Ryan Rebowe, MD · Answer

This lateral excess of skin is typically not new tissue, but is excess lateral chest wall skin related to having large breasts. In a standard breast reduction technique, the resection of tissue will end at the edge of the breast itself. While this excision can be extended onto the lateral chest wall, this is not standard. This lateral chest wall excision can be excised with a "bra line" body contouring procedure to remove excess skin on the lateral chest and back. This procedure trades skin on the lateral chest and back for a scar that extends this entire length. The contour improvement can be significant, but the tradeoff is a large scar. However, this is not part of a standard breast reduction.

Alan Gonzalez, MD, FACS · Answer

Hello @Alaina28, thank you for your question. It is important to take into account several aspects among which is the surgical technique applied. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear Alaina28,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

A picture of such fold would be helpful. However, many women, especially overweight, have excess fat and skin on the sides of the breast that are not specifically addressed with a reduction.

Camille Cash, MD · Answer

It is difficult to determine what may be occurring without seeing the photos you are referencing.  Sometimes if the photos are taken soon after surgery the result will improve as healing progresses.  In other cases a revision is needed after the patient is healed to improve shape from the original procedure.

Strange lateral chest folds after reduction

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