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

Question

I got a breast reduction/lift at first two years ago. I had dog ears and scar revision with the 360 cc gummy bear implant under the muscle a year later and the scar has healed disgustingly. I have gotten steriod injections. It did flatten the scar, but its still there. I cant wear certain tops and I hate being naked. Also, my breast are funny shaped. Can this be fixed I want them to look normal. I am 5'6 210 pounds. Are the 360cc implants too small for my chest wall?

Jaime S. Schwartz, MD, FACS · Answer

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

Raffy Karamanoukian, MD, FACS · Answer

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

Matthias Solomon, MD · Answer

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.

Jed H. Horowitz, MD, FACS · Answer

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.

Kenneth Schimensky, MD · Answer

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.

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

Answers (10)

Answer: Trouble with Scars Post-Op

Answer: Trouble with Scars Post-Op

Answer: This can be easily fixed

Answer: This can be easily fixed

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Everything you need to know about Breast Lift

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

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

Answers (10)

Answer: Trouble with Scars Post-Op

Answer: Trouble with Scars Post-Op

Answer: This can be easily fixed

Answer: This can be easily fixed

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Recommended reading

Everything you need to know about Breast Lift

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