Augmentation & scar revision recommendations post reduction? (Photos)

Question

Hello, I had a breast reduction in 2017. Although I asked questions, we never discussed incision placement. I was horrified to see how high the incisions went – an inverse "V" between my breasts. The scars are still very visible and red. The final blow was that the surgeon removed more than I requested, and I ended up a size C, not D (from GG). Mortified, angry with myself and him. I would like some fullness back, while also removing/improving the "V" scars. Recommendations?

Gary M. Horndeski, MD · Answer

If you want 1 size increase then you can undergo fat transfers.  You will need to have the scars revised and these can be done simultaneously under general anesthesia and takes 2 hours to perform.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear redrocksgal,
it is hard to tell for sure without an examination. Based on your photos, it looks like your scar can be improved as well as breast size. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I'm sorry to hear you were unhappy with your reduction.  Breast augmentation can help you achieve more volume and fullness to the breasts.  Scar revision can help to improve the appearance of your previous scars.  The next step is to visit with a board certified plastic surgeon near you for a consultation.

Irena Karanetz, MD · Answer

Hello,

Thank you for the question and I'm sorry to hear that you are not happy with the results.

Breast augmentation procedure will add the breast volume and give you a fuller cleavage that you desire.

Scar revision surgery can be performed to improve scar appearance.

I would encourage you to discuss your questions and concerns with your Plastic Surgeon and/or obtain an in person consultation with another Board-Certified Plastic Surgeon.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

John L. Burns Jr., MD · Answer

I'd recommend a breast implant.  Moderate or Low Plus profile.  I keep the lower pole skin from stretching and to hold the implant up I'd use an internal bra mesh:  Durasorb or Galaflex.  I'd suggest laser scar therapy for the scars.

Augmentation & scar revision recommendations post reduction? (Photos)

Answers (5)