1 year post-op, breasts still seem a little boxy, and scar is a little indented (photo)

Breasts progress through a very normal and relatively predictable change in shape from the immediate post op period through the first year after surgery. At first, breasts are swollen, ride high on the chest wall and may resemble an augmentation. This settles in the first 1-3 months, and the breast resumes a more natural slope with the majority of the breast tissue at the level of the areola and below. Usually these changes stabilize between 3-6 months post-op and any additional changes are slight. This suggests that the results you see today are as close to the final result that you will be after your surgery. If the appearance of your breasts today are not satisfactory to you, you may want to consider sharing your concerns with your surgeon and discussing options. Addressing these concerns will likely require a discussion about surgical options.

Dear Sociable120807,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

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

Hello and thank you for your question.
In general, at one year your results should be fairly stable. At this point, I would recommend a revisional procedure, removing additional breast tissue from the lower outer and lower inner portions of the breast to improve breast shape. To accomplish this, you would likely require extension of the scars along your inframammary folds. Good luck.