Inframammary scar not in crease. Are there any options to correct this? (Photo)

Question

My scar initially started off closer to the crease line and over the course of the past four months has gradually moved further from the crease line what Solutions are there possibly to correct this?

Robert Cohen, MD · Answer

You have what appears to be an inferior malposition of your implant.  This is when the implant shifts too low due to stretching of the internal pocket, and as a result the scar shifts up onto the breast.  The distance between the scar and the nipple usually is unchanged in these situations.  Although you did not show a front view of the breast, I would guess that the nipple looks like it is too high on that side now that the implant dropped.  This problem is usually a relatively straightforward correction.  The lower pocket needs to be tightened internally and stabilized to restore the original size of the pocket.  There are many ways to do this but I generally use a "popcorn" technique where cautery is used to shrink the capsule, which can then be oversewn for extra strength. This will shift the scar back to its proper position and will rotate the nipple back down as well.  In patients with thin tissues, the repair can be reinforced with a material such as Strattice to add even more durability.  If you are bothered by your breast appearance, you should consider re-visiting your original surgeon to assess and correct your issue.

Stacey Folk, MD · Answer

The position of the scar changes as the implants drop and settle, and having it end up in the lower surface is not a problem and does not need correction. What is more important is the final position of the implant. Be sure to wear a supportive bra if you have concerns that they are dropping too much and follow up with your surgeon if you have questions about how you are healing.

Neil T. Chen, MD · Answer

Thank you for the question. The scars can get higher a little bit after the implants settle. As long as the nipple-to-breast position appears to be OK, the ncision will fade and get less visible.

Michael S. Hopkins, MD (retired) · Answer

Inframammary scars tend to be located in the crease or they may ride up onto the bottom of the breast a little. If the implant drops too low, the scar will rise furter as the implant descends. Without a front view, it is hard to tell if this is your situation but it seems likely. Repair requires another surgery to close the bottom of the breast pocket and reposition the implant higher. Repair is not always needed if the breast shape and implant position look good. There are several options to ensure a solid surgical repair, such as reinforcing the repair with an internal support material. Your surgeon will be able to offer good advice and options. Best wishes.

Brooke R. Seckel, MD, FACS (retired) · Answer

If the implants appear too low-bottomed out-then a pocket revision to lift the implant and tuck the scar under the breast can be done. See below for more information:

Inframammary scar not in crease. Are there any options to correct this? (Photo)

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Answer: Inframammary scar not in crease

Answer: Inframammary scar not in crease. Are there any options to correct this?

Answer: Inframammary scar not in crease. Are there any options to correct this?

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Everything you need to know about Breast Implants

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Inframammary scar not in crease. Are there any options to correct this? (Photo)

Answers (5)

Answer: Inframammary scar not in crease

Answer: Inframammary scar not in crease

Answer: Inframammary scar not in crease. Are there any options to correct this?

Answer: Inframammary scar not in crease. Are there any options to correct this?

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.