My breast are oddly shaped and my scar is bad? Is a revision worth it? Can this be fixed? (Photos)

I appreciate your question.





I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.

You could benefit from a scar revision 12 months after surgery.



The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.



 



Best of luck!



   



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

You will benefit from a revision; the nipples are too high and so is the distance from the nipples to the base of your breast. Please see a board certified plastic surgeon who has experience in secondary breast surgery.

All surgical procedures carry some degree of
risk Any breast operation can result in changes in sensation. This happens less
with lifts than reductions but is still possible Occasionally, minor
complications occur and do not affect the surgical outcome. Major complications
associated with this procedure are rare. The suitability of the breast lift
procedure and specific risks may be determined during your consultation.

#Hypertrophic or #keloid scars can be a
problem. The worst are usually under the breast with an #AnchorLift or inverted
“T”. These can be treated like all thickened scars with re-excision, laser,
kenalog/5-FU injections, creams, silicone strips and other methods to reduce
and improve healing.

Since it has been so long it would likely be a good idea to meet again with your plastic surgeon to see if there is anything that you can do to treat the scars or if a revision will be needed.

You do not need a revision, you have to rebuild your breasts completely without touching the submuscular implants you already have. It is to carry the entire contents of the breast over the area of projection of the implants and at the end of the operation, inject the new scar with a drug that accelerates the healing process making it esthetic.

It looks like you would benefit from a revision with a better lift. Best of luck with your results and decision to move forward.

All revision surgeries are difficult.  You have history of keloids/hypertrophic scars which makes this a challenge to do further surgery.  Have a discussion about your surgical plan with your surgeon.  Good luck!

I do think that a revision is worth it if your expectations are met with a good surgical plan.  A revision with excision and reclosure of your scars and a larger implant with a higher profile to provide you with more roundness and projection and shape.  You would need to be willing to go from 360 cc to more like 450 or 500 cc in my experience to really see that improvement in size and shape.  I would encourage you to get several consultations and opinions and think about how much large you'd like to be.  Best wishes!

You would be a candidate for revision breast augmentation and breast lift.  Many options will exist and an in person exam will be necessary to make an appropriate plan.  The distance of your nipple to breast fold is long and will need to be adjusted, in addition your implant pockets and implants may need to be adjusted as well.  Good luck

Yes, a breast revision is needed.  Your areolas are too high on the breast mound, and the scars need to be redone.  Contact your plastic surgeon and express your concerns.