Sagging & scars 9 months post op breast lift & implants (Photo)

Hello, thank you for your question. In my opinion your results look good, of course Im not sure what your wish pics or desired look was. You now have good symmetry of the breast size and a lifted appearance with more upper pole fullness. The truth is that when you still have your own natural breast tissue despite any surgeons best efforts over time, gravity will naturally drop the breast tissue and the implant will drop a bit as well. The only way to reduce that appearance of the "sagging" is to remove a great deal of your natural breast tissue. The implant can remain and is supported under the muscle. Regarded the scars typically they take up 12 months to mature so be patient and speak to your plastic surgeon to discuss options if you are still unhappy.

It is a lot to ask of the skin to support a reduction, lift, and implants. An internal bra will offload the weight of the breasts + implants, so the scars can heal with less tension ( less widening) and maintain the shape of the breasts. Galaflex is an excellent option for this.

Hello, Im considering the you need breastlift revision with scar removing. And need an implant repositioning in the same operation.

Hello, Thank you for the question and photos! Without seeing you in person it appears your breasts have dropped. This is what we call bottoming out. I agree the scars have widen and could use a scar revision to achieve better scars. Who ever you decide to have a revision with post care should include good bra support day and night. Best of luck!

You have sagging and tenderness after mastopexy/augmentation. The discomfort may be due to capsular contracture, but can only be determined by exam. You had problematic healing of the vertical scar, likely due to high tension closure. The tissue has stretched due to gravity and the implant. I suggest going to a smaller implant, secondary lift to breasts, with excision of the lower pole scar. Wearing a supportive bra is very important to protect the healing breasts. Best wishes on finding the right doctor for you.

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

Hello and thank you for your question. I understand you are not happy with your results. I notice there are wide red scars, some persistent asymmetry between the breasts and that you feel the breasts are sagging and you are experiencing some discomfort. Ideally, we all want thin fine white lines for scars but everyone heals differently and there can be things that happen along the post operative course that affect the result. Your scars are technically still "immature" and will continue to flatten soften and fade for at least 1 year post op. There are noninvasive options such as lasers and chemical peels to help improve the appearance of the scars if you wish. The width of the scars can only be improved by a surgical scar revision. In terms of your asymmetry, the position of the breasts/implants and the discomfort/implant shifting you are experiencing, you would need an in-person consultation and exam to best evaluate your situation. You may need revision including an implant exchange, work done on the capsule to remove/release/tighten portions of it. One option at the time of your revision may be use of the "internal bra technique" which can help strengthen your tissues and prevent sagging for longer.

Dear Kmstabler1790,
for scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.You should discuss your concerns with your plastic surgeon as different surgeons have different approaches in scar management.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I would recommend a scar revision to address the wide, hypertrophic scars. An in person examination is needed to assess nipple position, skin quality, tissue quality, implant softness, and implant position before making recommendations about more extensive revisions.

As an aside, combining a breast lift and an augmentation during the same operation is one of the most challenging procedures in cosmetic and reconstructive breast surgery. The revision rate exceeds 40% because the lift and augmentation procedures have effects that fight each other. However, do not lose hope, you can still achieve your goals with the right plan!

The movement of the implant in your left breast suggests that it may not be properly positioned or secured. This can happen if the implant pocket created during surgery is too large or if the surgical technique used was not precise. It's possible that capsular contracture could be contributing to your discomfort and the appearance of your breasts.


Considering your dissatisfaction with the results and the discomfort you're experiencing, it's advisable to consult with a board-certified plastic surgeon who specializes in breast revision surgeries.


I hope this helps,
best of luck !