Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise? (photo)

Question

11 months ago I had a Benelli mastopexy for my tuberous breasts. Quite a lot of stretching of the areolas occurred, which I can live with, however--I'd like to know what the chances are of a satisfactory result if I have scar revision on my left breast (only)? The scar and surrounding skin at the top looks rather uneven and pleated compared to the natural look my right one has. I don't want further stretching to occur. What do you advise? Also, would a crescent lift type revision be an option?

Jed H. Horowitz, MD, FACS · Answer

#Hypertrophic or #keloid scars can be a problem.  The worst are usually under the breast with
an #AnchorLift or inverted “T”.  These
can be treated like all thickened scars with re-excision, laser, kenalog/5-FU
injections, creams, silicone strips and other methods to reduce and improve
healing.Revision can help, but does not always heal better

Kenneth Hughes, MD · Answer

Scar Revision after 1 year may appropriate.  There are multiple factors to discuss with your plastic surgeon including How much did the areolae stretch after the first surgery?  Was there asymmetric stretching (right vs left)?  Do you form poor scars in general?  How does the other areola look?

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	Although, the easy answer is that you will  likely benefit from revisionary surgery, you should definitely consider the potential risks associate with additional surgery. For example, despite best efforts, you may experience continued pigment changes, abnormal scarring, areola asymmetry,  and/or re spreading of the areola.

	 Ultimately, only you will be able to decide whether the additional surgery is warranted,  based on your level of dissatisfaction currently. One option would be to allow for ongoing time ( for example an additional 6 months to one year),  prior to making this decision.

	 I hope this helps.

Aldo Guerra, MD · Answer

You should weight the benefits versus the risks of revision before undergoing the procedure. Consider that now the skin has stretched a bit and this could recur even with another reduction of the areola. At 11 months post surgery, it might be too early to move forward, but you should discuss this with your plastic surgeon. Good luck!

Jourdan Gottlieb, MD · Answer

It would be helpful to see a photo of the other areola before making a recommendation. If the other side has none of the issues that you note, and if both areolas were about the same size before surgery, I would be inclined to think you are likely to have an improvement. Consider posting a photo showing both breasts. Thanks, best wishes.

Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise? (photo)

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Answer: Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise

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Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise? (photo)

Answers (9)

Answer: Scar revision?

Answer: Scar revision?

Answer: Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise

Answer: Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise

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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.