I am F29, 5'3. I had a breast lift 5 years ago with terrible results, really bad scarring and extremely high upwards pointing nipples. I have been advised by a couple of surgeons that the nipples cannot be moved down and only a incision under the breast can be made. crescent. Due to the length from the collarbone to the my nipple. I am desperate to have them moved down even slightly, even if this means there is a scar that needs addressing on top. Is there anyone that could help in any way?
Answer: Revision mastopexy Hi, thanks for your question. You have a few issues (based on the photos) that could be improved - the feeling that the nipple is too high, stretched scars, and a long nipple to inframammary fold distance. I would recommend shortening the nipple-IMF distance and revision of the scars, which would provide better overall balance. Fat grafting to the upper pole would help to mask the appearance of the nipples being too high. Lowering the nipples can be done, but it would require a scar above the nipple areola complex which may be visible in a bra / swimwear. If you are happy to accept that, then lowering the nipples is very feasible. Consult a surgeon who has a specialist in aesthetic breast surgery.
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Answer: Revision mastopexy Hi, thanks for your question. You have a few issues (based on the photos) that could be improved - the feeling that the nipple is too high, stretched scars, and a long nipple to inframammary fold distance. I would recommend shortening the nipple-IMF distance and revision of the scars, which would provide better overall balance. Fat grafting to the upper pole would help to mask the appearance of the nipples being too high. Lowering the nipples can be done, but it would require a scar above the nipple areola complex which may be visible in a bra / swimwear. If you are happy to accept that, then lowering the nipples is very feasible. Consult a surgeon who has a specialist in aesthetic breast surgery.
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June 16, 2025
Answer: Revision surgery Dear Neat646403,
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June 16, 2025
Answer: Revision surgery Dear Neat646403,
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June 13, 2025
Answer: A scar revision can be done to improve the appearance. Recommend following revision with proper scar laser treatments. Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
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June 13, 2025
Answer: A scar revision can be done to improve the appearance. Recommend following revision with proper scar laser treatments. Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
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June 13, 2025
Answer: Repositioning nipple/areolar options Thank you for your photo. Option #1: To reposition your nipple/areola lower would leave a scar above your areola. The length of that scar would depend upon how far down you want to move your nipple/areola. During this lowering of your nipple/areola, revisions of the other incision lines could be done to improve them. Camouflaging the incision line above the top of your areola may be an issue. Option #2: remove skin crescent from the lower portion of your breast, to shorten the distance from your nipple down to your inframammary fold so that it appears that your nipple/areola is positioned over the center portion of your breast as opposed to the upper portion of your breast. Your other incision lines could be revised at the same time with this approach as well. This would not create any new incision lines above the top of your areola. I would favor option #2 as it is a simpler procedure and does not add any new incision lines. Should your breasts settle again, this is easy to repeat. Best wishes.
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June 13, 2025
Answer: Repositioning nipple/areolar options Thank you for your photo. Option #1: To reposition your nipple/areola lower would leave a scar above your areola. The length of that scar would depend upon how far down you want to move your nipple/areola. During this lowering of your nipple/areola, revisions of the other incision lines could be done to improve them. Camouflaging the incision line above the top of your areola may be an issue. Option #2: remove skin crescent from the lower portion of your breast, to shorten the distance from your nipple down to your inframammary fold so that it appears that your nipple/areola is positioned over the center portion of your breast as opposed to the upper portion of your breast. Your other incision lines could be revised at the same time with this approach as well. This would not create any new incision lines above the top of your areola. I would favor option #2 as it is a simpler procedure and does not add any new incision lines. Should your breasts settle again, this is easy to repeat. Best wishes.
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June 11, 2025
Answer: 5 years post op From the photo it appears the breast tissue is sitting too low and you have hypertrophic scars. A revision is needed to push the breast tissue higher, remove excess skin, and revise the scars. You can also consider a lift with auto augmentation. This procedure gives upper pole fullness using your own tissue. This is different than fat grafting. I've included a video I hope you find helpful.
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June 11, 2025
Answer: 5 years post op From the photo it appears the breast tissue is sitting too low and you have hypertrophic scars. A revision is needed to push the breast tissue higher, remove excess skin, and revise the scars. You can also consider a lift with auto augmentation. This procedure gives upper pole fullness using your own tissue. This is different than fat grafting. I've included a video I hope you find helpful.
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