I had a breast lift about a year ago and sadly I have ended up with some loose skin on the upper pole area of my breasts down to my nipple. Is there a way of fixing this without needing a full breast lift/reduction surgery again? Is my surgeon able to just tighten up the skin around my breasts by making a vertical incision from my nipple down, much like the incision I had done with my breast lift? Or would he have to cut around my nipples as well in order to make this work? What do you advise is the best way to tighten up my skin around my breasts? Thank you
Answer: Skin laxity I encourage you to return to your surgeon for an evaluation. For the best result you will likely need a revision which sometimes includes incisions around the areola. I've included a video on this topic that I hope you find helpful.
Helpful 1 person found this helpful
Answer: Skin laxity I encourage you to return to your surgeon for an evaluation. For the best result you will likely need a revision which sometimes includes incisions around the areola. I've included a video on this topic that I hope you find helpful.
Helpful 1 person found this helpful
May 19, 2025
Answer: Recommend doing a combination of resurfacing lasers and chemical peels to reduce appearance of creepiness. 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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May 19, 2025
Answer: Recommend doing a combination of resurfacing lasers and chemical peels to reduce appearance of creepiness. 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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May 12, 2025
Answer: Revision surgery Dear Coocoochichi, 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
Helpful
May 12, 2025
Answer: Revision surgery Dear Coocoochichi, 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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May 12, 2025
Answer: My Recomendation Dear Coocoochichi, thanks for sharing your pictures and concerns, after evaluate your case best option to fix this is a surgical approach, there are many procedures promissing to help with the skin laxity but being honest resuls are under the expectations and theydont last longer. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia
Helpful
May 12, 2025
Answer: My Recomendation Dear Coocoochichi, thanks for sharing your pictures and concerns, after evaluate your case best option to fix this is a surgical approach, there are many procedures promissing to help with the skin laxity but being honest resuls are under the expectations and theydont last longer. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia
Helpful
May 12, 2025
Answer: A second breast lift works best when sagging persists or returns. No mesh. Your best option is a secondary breast lift using the vertical technique. Whether to include skin resection around the nipple/areolas is a judgment call. If you want the best result and the most tightening, then this is recommended. Basically, your old scars are replaced with new ones. You might consider small implants for upper pole volume. Energy based treatments are ineffective and costly. Mesh is unnecessary and not helpful. A vertical lift is best.
Helpful 1 person found this helpful
May 12, 2025
Answer: A second breast lift works best when sagging persists or returns. No mesh. Your best option is a secondary breast lift using the vertical technique. Whether to include skin resection around the nipple/areolas is a judgment call. If you want the best result and the most tightening, then this is recommended. Basically, your old scars are replaced with new ones. You might consider small implants for upper pole volume. Energy based treatments are ineffective and costly. Mesh is unnecessary and not helpful. A vertical lift is best.
Helpful 1 person found this helpful