Can someone point me to the best breast revision/reconstruction/scar revision doctors in the world. Im unsure my condition is even fixable because ive been turned down by multiple doctors and so far only 1 said he can help but only once i hit a year post op. there is multiple things wrong here but if i can only fix 2 it would be my nipples to be even and scars to be better. they seem to sit high and are to big for my chest. also don't seem to have loose skin. feel my life is over. help please
November 25, 2024
Answer: Scar Revision I would recommend a scar revision with slight reduction in the Nipple-areolar complex. Now that enough time has passed, a revision can be done with minimal tension on the skin and a more acceptable scar.
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November 25, 2024
Answer: Scar Revision I would recommend a scar revision with slight reduction in the Nipple-areolar complex. Now that enough time has passed, a revision can be done with minimal tension on the skin and a more acceptable scar.
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November 7, 2024
Answer: A scar revision can be done to improve the appearance followed by laser treatments to minimize scars appearance. Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. . Best, Dr. Karamanoukian Realself100 Surgeon
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November 7, 2024
Answer: A scar revision can be done to improve the appearance followed by laser treatments to minimize scars appearance. Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. . Best, Dr. Karamanoukian Realself100 Surgeon
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November 1, 2024
Answer: Revision options I'm sorry you're not happy with your outcome. Fortunately there are options to improve your result but also limitations. Reducing the areolar size with a permanent suture should be feasible and reliable. It is typically best to wait at least a year to perform scar revision. Genetics plays a big role in scar formation so if you scarred poorly the first time you'd want to take a lot of additional steps to optimize the future scarring. This can start with preop nutrition, post op tapes, topicals and maybe lasers. Lowering the areolar location can be tricky. The only real option is to remove an ellipse of skin from the lower part of the breast, in the breast fold, to pull it down. If everything is really tight that may require a small volume reduction. Overall tight incisions can lead to poor scars and more areolar stretch. Hope that's helpful.
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November 1, 2024
Answer: Revision options I'm sorry you're not happy with your outcome. Fortunately there are options to improve your result but also limitations. Reducing the areolar size with a permanent suture should be feasible and reliable. It is typically best to wait at least a year to perform scar revision. Genetics plays a big role in scar formation so if you scarred poorly the first time you'd want to take a lot of additional steps to optimize the future scarring. This can start with preop nutrition, post op tapes, topicals and maybe lasers. Lowering the areolar location can be tricky. The only real option is to remove an ellipse of skin from the lower part of the breast, in the breast fold, to pull it down. If everything is really tight that may require a small volume reduction. Overall tight incisions can lead to poor scars and more areolar stretch. Hope that's helpful.
Helpful