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: Your condition is correctable with the right approach. Hello, I’m sorry to hear about your disappointing experience. Upon evaluating your photos, I noticed that you have hypertrophic scars on your breasts and glandular ptosis.First of all, I want to assure you that your condition is manageable. Based on my professional experience, I believe that a breast lift combined with a small implant can provide excellent results.It is crucial to take proper precautions immediately after surgery to minimize the risk of developing hypertrophic scars.
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Answer: Your condition is correctable with the right approach. Hello, I’m sorry to hear about your disappointing experience. Upon evaluating your photos, I noticed that you have hypertrophic scars on your breasts and glandular ptosis.First of all, I want to assure you that your condition is manageable. Based on my professional experience, I believe that a breast lift combined with a small implant can provide excellent results.It is crucial to take proper precautions immediately after surgery to minimize the risk of developing hypertrophic scars.
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July 1, 2025
Answer: Bottoming out deformity The problem in your case is not the nipple position; it seems quite normal according to your arm, chest wall and abdomen ratios. You have a severe bottoming out deformity in which the nipples stay in position and breast tissue goes down. It can be corrected with a pushup lift with your own Brest tissue; with keeping your breast volume and shaping your own tissue; creating a good curve and upper pole fullness. All cars can be revised at the same time.
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July 1, 2025
Answer: Bottoming out deformity The problem in your case is not the nipple position; it seems quite normal according to your arm, chest wall and abdomen ratios. You have a severe bottoming out deformity in which the nipples stay in position and breast tissue goes down. It can be corrected with a pushup lift with your own Brest tissue; with keeping your breast volume and shaping your own tissue; creating a good curve and upper pole fullness. All cars can be revised at the same time.
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June 20, 2025
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 20, 2025
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, 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
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June 16, 2025
Answer: Revision surgery Dear Neat646403, 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
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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. Best, Dr. Karamanoukian Realself100 Surgeon
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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. Best, Dr. Karamanoukian Realself100 Surgeon
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