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

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

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.

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).

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.

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.

Your implants are sitting too high and need to be brought down. If you try to raise your breast to fit them, your breast will settle back down since the bases cannot be moved and your nipples will be too high and pop out of bras. Go with the first option.

Thank you for your question. You definitely do not need a breast lift. Your nipple position is excellent and your frontal view is very nice however your implants appear to be too high. The position of your implants is what causes the lower pole of your breast to be deficient that is the distance from your nipple to your if Mary crease.

A solution is a pocket revision to drop the implants lower on the chest wall. This is a straightforward procedure which should correct the problem. Avoid a breast lift. It will cause scarring and create in appearance of bottoming out. A simple pocket revision is all you need.

Hi. You will get a great result if you do dual plane and let the implant sit in its appropriate position. It will stretch the lower pole a bit but it will look more natural. Raising the nipple is not a good idea because your nipples are at the appropriate position for your body and your breast. If you raise the nipples they will look very awkward.