Implant removal and lift, 6 months post-op. Incision scars and areola are undesirable. (photo)

Question

About 6 months out, my results started to become very undesirable. What went wrong? Have lost some weight, not gained any. Areolas look misshapen and incision scars look hideous. Also, breasts actually sit slightly lower than before removal. Thanks, Straka.

Chet Mays, MD · Answer

Thank you for your inquiry!  A scar revision would reset the healing process and give the scars another chance at healing better.  We would love to meet with you to discuss your concerns.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and photo. 
It appears that the Left side is larger and more bottomed out than right side, and the areola have widened. In order to make the breasts more symmetric and perkier, you would benefit from revision of breast lift, however, I would wait a full 1 year to allow for the final wound healing to take place.
The decision-making process depends on your discussion with the plastic surgeon following a thorough physical evaluation, in order to discuss your goals and concerns for the best cosmetic results. 
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Camille Cash, MD · Answer

I encourage you to return to your surgeon for an evaluation.  Scar revision can be performed to help improve the look and shape of the areola.  A revision to your lift may be indicated as well.

Michele A. Shermak, MD · Answer

Hello!
Breasts settle after breastlift surgery, including the nipple areola. Some degree of weight loss may contribute.
Revision work may be considered typically 1 year out from surgery. In your case, your incisions can be tightened, maybe lower breast lightened, and nipple areolar complexes reduced. The revision work should take less time than the original lift and there are no new scars.
Best of luck to you!

Implant removal and lift, 6 months post-op. Incision scars and areola are undesirable. (photo)

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Implant removal and lift, 6 months post-op. Incision scars and areola are undesirable. (photo)

Answers (10)

Answer: Implant removal

Answer: Implant removal

Answer: Outcome after implant removal and lift

Answer: Outcome after implant removal and lift

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.