Is there any way the fold below my nipple will resolve to look more natural over time? (Photos)

Question

And will the sensitivity go away? I had 325cc silicone submuscular implants for about 1.5 years. I got capsular contracture. 10 months ago, I had an explant with as much removal of the capsule as possible this included scraping my ribs. Part of my breast tissue was removed. My body was also not reabsorbing a hematoma from a car wreck we were in but it was rather collecting around the capsule. Side note: I don't have much fat in my stomach for grafting, as my Dr said that's where he would take it from...

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. Sorry to hear about your current concerns. Although it is hard to tell without an exam, it appears that the tissue from the breast or skin has adhered to the chest wall and caused a scar adherence. This might be helped with conservative measures, but may also likely require surgical revision. Talk to a plastic surgeon who is board certified by the American Board of Plastic Surgery to discuss your options.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Donovan Rosas, MD · Answer

At this point, there are unlikely to be any significant changes going forward. You will likely need surgical revision to correct any lingering issues. Scar release and fat transfer may be helpful.As always, discuss your concerns with your board certified plastic surgeon (ABPS)

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  After 10 months your current results will not materially change and a revision procedure to release the scar tissue and replace it with either fat or another implant may be required to restore your shape.  See a series of ASPS board certified plastic surgeons in consultation to discuss. Best wishes.

Camille Cash, MD · Answer

At ten months post op you will not likely notice much change going forward.  You can opt for surgical revision, including releasing the scar tissue and fat transfer.  You could also consider a small implant if fat transfer is not an option.  I encourage you to meet with your board certified plastic surgeon to discuss your options.

Julie Khanna, MD, FRCSC · Answer

Thank you for your post and photos.  I am sorry that you are having some difficulty with your healing and result.  Generally when you are close to the one year mark post-operatively, that is when your surgeon will discuss revisions and enhancements.  Some help to release the scar and then breast shaping options should be discussed with your Board Certified Plastic Surgeon.Best of Luck, Dr. K.

Connie Hiers, MD, FACS · Answer

Because of the hematoma, the amount of tissue removed, and residual scarring, that area may not settle over time by just letting it heal. A fat transfer could be helpful once the area has healed from your removal. for now scar massage and scar products could be helpful.

Is there any way the fold below my nipple will resolve to look more natural over time? (Photos)

Answers (6)

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