Breast Lift for 24 yr old with history of hypertrophic scarring (Photo)

Question

Breast implants were done Jan’21. They were done FULL sub-muscular (not dual plane) with my pec covering the top and serratus & obliques covering the bottom because I worried about implant sag making my short torso shorter. 2 years post-op, l still love the size and feel but hate nipple position. I tape my nipples up so they meet my implants. My surgeon gave 2 options: a revision (release capsules and turn them dual plane) bringing nipples up 1” OR breast lift bringing my nipples center.

Daniel Barrett, MD · Answer

Dear Funny2533,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian Bassiri-Tehrani, MD · Answer

This is a good question. Both are reasonable options and I think the decision depends on several factors.
Undergoing a breast lift (mastopexy) will improve the nipple and areola position by only doing surgery on the surface of your skin and breast tissue. No changes to your implants or implant cavity will be done. The implant position on your chest wall will remain the same, and the nipples will be more lifted. The drawback to this option is that you will have scars on the front part of your breast and around your areola. 
Undergoing a dual plane procedure will help the implant position by changing the position of the implants. This may make the implant position change on your chest to match where your nipple and areola position. This may make the implant look a little lower on your chest while taking away volume and fullness in the upper part of your chest. This option may provide a modest change in position of the nipple and areola without necessarily putting additional scars on your breast and areola.
It is possible that you are a good candidate for both - this just depends on your preference and your anatomy. Depending on how high you prefer to have your implants to have the upper part of your chest augmented, one option may be better than another.

Alan Gonzalez, MD, FACS · Answer

Hello @Funny2533, thank you for your question. It really depends on your goals and what the specialist can do.  For example, in this type of cases I would create an anatomical lift with BRALift technique. The incision would be periareolar and L-shaped.  I consider that's the minimal scarring to have an adequate results. That means a well-projected breast with the nipple and areola looking to the front. It's essential to remember that each patient's situation is unique. A direct consultation with a board-certified plastic surgeon is necessary to determine the most appropriate plan for your specific case. To shed more light, I have attached a video.  Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Zoran Potparic, MD · Answer

It may be worthwhile to consider drooping the implants by releasing current IMF? This should be moderate, to avoid double bubble. Periareolar lift can be considered but be aware of possible wide scar around areola. Hope this helps.

Finny George, MD · Answer

Hi, thank you for sharing your question. I am not convinced that you need a lift. It seems that your implants are sitting too high and a neo-subpectoral pocket may address the problem.

Breast Lift for 24 yr old with history of hypertrophic scarring (Photo)

Answers (8)

Answer: Lowering IMF

Answer: Lowering IMF

Answer: Breast implants

Answer: Breast implants

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Everything you need to know about Breast Lift

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Breast Lift for 24 yr old with history of hypertrophic scarring (Photo)

Answers (8)

Answer: Lowering IMF

Answer: Lowering IMF

Answer: Breast implants

Answer: Breast implants

Browse related questions

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.