Please help, breast lift gone bad. What are my treatment options? (Photo)

Question

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

Gary M. Horndeski, MD · Answer

Your breasts are widely separated and the nipple-areola complexes are asymmetrical. After 6 months from the day of surgery, I would consider a revision. You would need a circumareola approach to revise the scars and move the nipple-areola complexes more medial. You will also need a revision of the inferior curve scars near the inframammary fold. This can be done to pull the breasts down to make them in a more natural position. You may also benefit from simultaneous fat transfers.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Semih Yildiz, MD, FEPOBRAS · Answer

First, I am sorry you are going through this. I reviewed the uploaded images; they show enlarged and irregular areolas with visible periareolar and vertical scars, some asymmetry, and limited breast skin/soft-tissue reserve, but photos alone cannot determine the exact revision plan.

The reason many surgeons ask patients to wait close to 12 months is not to dismiss the problem. It allows scars to soften, swelling to settle, nipple-areola blood supply to recover, and the skin envelope to declare itself. Revising too early can make scarring, distortion, or blood-supply risk worse.

Your two main priorities, nipple/areola symmetry and scar quality, are the areas a revision breast surgeon would typically assess. Options may include areola reduction or reshaping, small adjustments in nipple-areola position, scar revision, and sometimes staged volume support such as fat grafting or an implant if there is not enough skin or soft tissue for the shape you want. Perfect symmetry is not realistic, but meaningful improvement may still be possible.

An in-person assessment with a board-certified plastic surgeon who often handles breast revisions is the right next step, ideally with your operative report and clear before-and-after photos. If the thought that your life is over feels overwhelming or you feel unsafe, please reach out for urgent emotional support right away; you should not have to carry that feeling alone.

Daniel Barrett, MD · Answer

Dear jasminoxo,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Chet Mays, MD · Answer

Thank you for your inquiry!  You breast appear to naturally fall to the side, an internal bra could help with this.  We would love to sit down with you and discuss your concerns.  Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

John Michael Thomassen, MD · Answer

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.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Daniel Butz, MD · Answer

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.

Camille Cash, MD · Answer

It's best to wait a year to consider scar revision as the appearance can continue to improve as they mature.  A revision to the lift could also be performed to help with the overall shape.  Be sure to see board certified plastic surgeons for the best results.

Darryl J. Blinski, MD · Answer

Photos help a little bit virtual consultation would be much better revision of restless may be accomplished expect fees to range from $10,000-$20,000 again best virtual consult with

Pawel Szychta, MD, PhD, DSc · Answer

I'm sorry you're feeling this way. To find skilled surgeons for breast revision and scar correction, search for board-certified plastic surgeons who specialize in complex breast procedures. Use reputable organizations like the American Society of Plastic Surgeons or the International Society of Aesthetic Plastic Surgery to locate experienced professionals. Consult multiple surgeons to discuss your concerns and potential solutions. Many people have successfully improved their outcomes with revision surgery, so professional help is available.

Please help, breast lift gone bad. What are my treatment options? (Photo)

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