Botched breast reduction. Can you kindly let me know how I fix this? (Photos)

Question

I had a breast reduction 2 years ago. I have very little volume in the upper pole, my nipples are pointing upwards and my breasts are 'bottoming out' I also have aerola skin remaining on the lower part of my breast. My aim is to maintain a B cup breast size while Lowering my nipple position, increasing volume on upper pole through implant and possibly removing aerola pigmented skin if possible. Can you remove additional fat from breast and replace with implant? (I don't mind sensation loss)

Michael A. Epstein, MD, FACS · Answer

Thank you for your question, and for providing the pictures.A revision lift, plus a small implant to fill out the upper pole, can very likely be performed in your case.  I recommend returning to your previous surgeon (if possible) to discuss these options.  If for some reason you don't have confidence that your original surgeon can deliver the result you desire, you are always able to seek out additional consultations with plastic surgeons.Best,Dr. Michael EpsteinMAE Plastic SurgeryNorthbrook, IL

Alexander G. Nein, MD, MS, FACS · Answer

A revision can certainly be performed to improve your result. For the best results seek the consultation of a plastic
surgeon certified by the American Board of Plastic Surgery. They have a website
listing all the certified plastic surgeons. Members of the American Society of
Aesthetic Plastic Surgery will all be board certified in plastic surgery and
have demonstrated an interest and special skill in cosmetic plastic surgery as
well.

Steven Wallach, MD · Answer

An exam in person would be helpful to determine what might be possible. Often the areola pigmented tissue at the base of the incision can be removed.  Implants may help give some more volume.  Best of luck.

Peter E. Johnson, MD · Answer

The revision you suggest may the answer if an implant is acceptable to you as this is the best solution for the lack of upper fullness in the breast. Best luck,

J. Garrett Harper, MD · Answer

Small implant under the muscle and re-tighten your skin envelope which should be able to remove retained areola.  Nipples can not be lowered easily but filling upper pole and tightening lower pole by excising tissue will do wonders.  Hope this helps.-JGH

Botched breast reduction. Can you kindly let me know how I fix this? (Photos)

Answers (9)