Scar revision after breast augmentation
Thanks for posting your question. I am happy to try and help you. Sorry to
learn about your concerns.
The best advice that I can give you is that you should speak to your plastic
surgeon. This should be a relatively easy fix.
Dr. Michael J. Brown
Northern Virginia Breast Augmentation
There are no potential side effects
This is happening because your areolar scar is adhering on underlying muscle. Surgery is strictly optional. You can leave it alone if you choose to do so. Only potential side effect is recurrence of this issue.
I am 18 months post-op. When I have pectoral muscle flexion, the incision at my nipple puckers inward
Hi... thank you for the question and photo... sorry for this, the only way to correct this is with a revision and a muscle release.
From the look of your photos, I would think that the fix would involve release of the scar from the deeper muscle and then placing something as a interposition graft to keep that from re-happening. In my experience, a dermal fat graft works beautifully in this regard. We can usually take part of the C-section scar or a small piece of skin just above the hairline to use for this purpose. It sounds like your plastic surgeon has a good handle on this and can hopefully correct it. Good luck.
Scar retraction due to muscle scarring
Yes unfortunately the only way to fix this problem is surgical release of the muscle. Good Luck.
Scar retraction requires revision
The scar should be released so there is not this animation type deformity. Massaging the scar may improve the look. If this prevents a surgery, that would be an advantage. Start with massage. The plastic surgeon is not going to move the muscle or do anything that should give you long term side effects. If you don't like the way it looks, let them revise the scar.
Puckering of nipple after surgery
To remedy the problem surgery is necessary. If you are not bothered by the appearance, you could leave it alone since it is an aesthetic issue rather than a medical issue.
The correction of this requires the scar to be released from its deeper attachments and a spacer or filler placed between the ends of the divided scar tissue to try to prevent recurrence of the scar retraction. A number of things can be used such as autologous fat transfer, a piece of acellular dermal matrix or other synthetic product such as Siri. The risks should be on the low end for this type of procedure.
I am 18 months post-op. When I have pectoral muscle flexion, the incision at my nipple puckers inward. (Photo)
This is an occasional side effect of placing implants through a nipple incision. There is scar tissue tethering the skin at the incision site down to the muscle itself. In order to correct the problem, the scar tissue needs to be released and something placed in the area where the old scar tissue was. This can sometimes be fat, synthetic skin, or just sutures, depending on your surgeon's preference.
This should be a much easier procedure than your first surgery in terms of recovery.
I am 18 months post-op. When I have pectoral muscle flexion, the incision at my nipple puckers inward.
Thank you for your question and photograph. It does appear that you have had some scar tissue attach your pectoral muscle to the undersurface of your nipple, causing the retraction when you fire your chest muscle. This should not be a difficult issue to correct, as the tethered scar tissue needs to be released, and a layer of gliding tissue placed between your muscle and nipple to prevent its recurrence. As this is largely a cosmetic issue, if the puckering does not bother you, it does not need to be corrected