Are implants a good idea after a botched breast reduction? (Photos)

Question

In 2007, when I was 16, I had a breast reduction going from a DDD cup to Large C/D. Although I was very happy with the relief that came with baring less weight on my back and shoulders, ultimately I regret my decision. I do like the shape of my breasts, but I feel as though too much may have been removed, as they lack volume on the top and I can actually pull loose skin away from my breasts. In addition to that, the scar I was left with from the anchor incision is on the bottom of my breast

Susan D. Vasko, MD, FACS · Answer

Yes, it is possible to have breast implants placed if you had a previous breast reduction and are no longer happy with your post operative breast size and shape. You can discuss a scar revision with your board certified plastic surgeon as well.

Rodger Shortt, FRCSC · Answer

There are likely a few great options available to you to improve the appearance of your breasts.  This includes: scar revision, tightening procedure to make your breast perkier (mastopexy), or an augmentation. This can be done with an implant or with fat transfer.  There is no perfect answer, so I suggest you speak to your plastic surgeon so they can go over the pros and cons and help you make the best decision for yourself.Hope that helps.Rodger Shortt, Oakville Plastic Surgeon

Deborah Sillins, MD · Answer

It is not unusual to lose upper pole fullness after breast reduction. Placing an implant will give you more of the upper pole fullness along with tightening the skin envelope slightly more.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation Always insist on a board certified plastic surgeon.

Robert Sleightholm, MD · Answer

Hello and thanks so much for your photos and question. It's very difficult to make any determinations based on the photos provided. I strongly recommend an in-depth consultation with a cosmetic plastic surgeon in order to assess and make recommendations based on your consult. Please keep in mind that  your breast reduction was done 10 years ago and unfortunately, as we age, we continue to lose volume and skin elasticity to our breasts just like we do in other areas such as the face. The body changes dramatically over a 10 year span. Implants will provide some fullness on the top of the breast but keep in mind that adding an implant will not correct ptosis (droopiness). You may require a breast lift/breast augment combination while addressing any scars from previous surgery at that time. We wish you all the best!!

Are implants a good idea after a botched breast reduction? (Photos)

Answers (10)