I had a breast augmentation with circumareola lift in 2020. The lift did not last or did not do what I expected. In June 2022 I went back to the same doctor who performed a bilateral mastopexy. I had issues with spitting sutures which I didn't have with the circumareola. I am still not pleased with the results (scars and drooping) but have spent more money than I wanted to begin with and I am not sure what to do now, any advice.
Answer: Advice I would highly recommend a revisionary breast surgery with a smaller implant, internal bra (Galaflex) for support, and another anchor-pattern type mastopexy.
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Answer: Advice I would highly recommend a revisionary breast surgery with a smaller implant, internal bra (Galaflex) for support, and another anchor-pattern type mastopexy.
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March 24, 2023
Answer: Breast lift results Dear hpovio,
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March 24, 2023
Answer: Breast lift results Dear hpovio,
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March 23, 2023
Answer: Breast revision Hello! Unfortunately, it appears that your breast tissue/implant have bottomed and you have poor scarring as a result of your cosmetic procedures. I would ask what size implants were placed initially and if they were placed above or below the muscle. In these circumstances, I typically consult my patients and recommend a revision breast augmentation/mastopexy w/ capsule work which includes reinforcing your breast crease, repositioning or exchanging your breast implants and performing a redo breast lift which would help to better center your breast tissue back on top of the implant while revising all of those scars. Revision cases like this are challenging and depending on the circumstances, you may also benefit from an "internal bra mesh" to help give you better longevity such as a durasorb monofilament mesh. Be sure to ask your plastic surgeon about what can be done differently to prevent you from obtaining the same results. Good Luck!
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March 23, 2023
Answer: Breast revision Hello! Unfortunately, it appears that your breast tissue/implant have bottomed and you have poor scarring as a result of your cosmetic procedures. I would ask what size implants were placed initially and if they were placed above or below the muscle. In these circumstances, I typically consult my patients and recommend a revision breast augmentation/mastopexy w/ capsule work which includes reinforcing your breast crease, repositioning or exchanging your breast implants and performing a redo breast lift which would help to better center your breast tissue back on top of the implant while revising all of those scars. Revision cases like this are challenging and depending on the circumstances, you may also benefit from an "internal bra mesh" to help give you better longevity such as a durasorb monofilament mesh. Be sure to ask your plastic surgeon about what can be done differently to prevent you from obtaining the same results. Good Luck!
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March 23, 2023
Answer: Any advice? Bilateral mastopexy June 2022 & not pleased with scars & drooping Hello @hpovio, thank you for your question. It is possible to do a revision and reposition the mammary tissue with minimal scarring improving the overall proportion and correcting the nipples. This will create overall harmony and this can be made with an L shape incision so you won't have scars in the cleavage area. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)
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March 23, 2023
Answer: Any advice? Bilateral mastopexy June 2022 & not pleased with scars & drooping Hello @hpovio, thank you for your question. It is possible to do a revision and reposition the mammary tissue with minimal scarring improving the overall proportion and correcting the nipples. This will create overall harmony and this can be made with an L shape incision so you won't have scars in the cleavage area. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)
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March 23, 2023
Answer: Lift revision surgery Around a year postoperatively, scars have really matured to close to their final result. Some softening can still happen, but for the most part this is it. While scars are often unpredictable, there are some maneuvers that may be used to help manage scars, as well as support the lower portion of the breast to help the lift last longer. Around the 1 year mark is when you would likely want to consider if a revision is worth it to you.
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March 23, 2023
Answer: Lift revision surgery Around a year postoperatively, scars have really matured to close to their final result. Some softening can still happen, but for the most part this is it. While scars are often unpredictable, there are some maneuvers that may be used to help manage scars, as well as support the lower portion of the breast to help the lift last longer. Around the 1 year mark is when you would likely want to consider if a revision is worth it to you.
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