Donut lift scarring, 3 years post op. Do I have options? (photo)

Question

Please help, Im 3 years post surgery and my end result is this. I'm devastated and have lost all confidence and won't let my husband see me naked. I've enquired with multiple treatment providers and it seems that there's nothing I can do. Any suggestions?

Tommaso Addona, MD · Answer

Thank you for your question.
Based on the photos you provided, you may be a candidate for a scar revision. The scar would be surgically excised and re-sutured. However, you should keep in mind that some aspects of scar healing is genetic, so this may not completely change the result. I recommend speaking with a board certified plastic surgeon to discuss your options.

Raffy Karamanoukian, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

Dear Snoop13,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from scar revision. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Unfortunately, you are showing typical signs of donut breast lift. The only way to correct it is scar excision and convert donut lift into lollipop. In person consultation with a board certified plastic surgeon, expert in breast surgery, is recommended. Good luck.

Scott W. Vann, MD, FACS · Answer

Donut lifts very commonly end with a stretched out aerola, poor scaring, and flattened breasts. This result could be improved a lot by converting to a lollipop lift which would reshape the breast  and give you a secure size of the aerola as well as better scar. Discuss options with your surgeon or get more opinions. Good luck.

Gerald Minniti, MD, FACS · Answer

You were never a good candidate for a donut lift (almost everyone isn't). You should have gotten a formal lift, but like many choose the donut because of perceived scar benefits. Well, you can see that the scar is very conspicuous. You'll need a revision surgery to convert this donut into an anchor scar pattern. The benefits will be substantial and numerous.

Hilton Becker, MD · Answer

Widening of the areolar scar following a doughnut mastopexy is not uncommon
I would recommend revision with an internal absorbable mesh support and possibly fat grafting

John A. Kotis, DO, FACS, FACOS · Answer

Hi
Unfortunately scar is fully mature in one year following your surgery. There is nothing topical which will help. I have had success early on with Morpheus 8 treatments however your 3 years out. Consider medical tattooing. I wish you all the best. Please see a board certified plastic surgeon.

Samir Shureih, MD · Answer

Based on the limited pictures posted, Need to understand that no body can predict how one will scar. Scarring is determined by your genetics.
Second your husband relations with you should not affect your relationship.
As for your scars around the areola, will depend on how the incision was closed. Also the size of the implant, if any, and the amount of tension on the scar.
There are several options to try to improve on your scar. If it is tension then must relief the tension on the scar (there are options). Closing the circumareolar incision need a pinwheel suture, well placed, and hope the resulting scar would be better. Consult a Board Certified Plastic Surgeon who(ALL) are familiar with all these techniques.

Douglas Taranow, DO, FACOS · Answer

Dear Snoop,
Although your periareolar scars are not too bad, having a periareolar scar revision may allow the scar to heal better, make the areola more round and smaller if desired.  You should consider using a silicone tape for 6 months postop to lessen the tension and scarring.

Dr. Taranow

Donut lift scarring, 3 years post op. Do I have options? (photo)

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