Can I help crepey skin on my breasts?

Question

I'm 39 years old and I had my 16 year old 530 cc saline breast implants removed a couple months ago. Just removed. No lift...nothing! Is there anything that can help shrink up the crepey skin? It's mostly just crepey when I lift my arms up Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Lars Enevoldsen, MD · Answer

Thank you for your question. It is possible that a ThermiTight treatment could give you the improvement you are looking for. Perhaps even ThermiSmooth or Sciton SkinTyte.  It really depends on the the degree of looseness and crepiness as well as your expectations.  Nothing non surgical will tighten the skin as much as a breast lift but if you are otherwise OK with the appearance of your breasts then it may not be worth having the scars from a lift.

Richard Baxter, MD · Answer

With removal of implants, the skin envelope of the breast is too large for the breast volume. A lift is the best way to correct it.

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