Do I need a revision or would an injection be fine? (photo)

Question

I had my breast reduction a year and a half ago . Didn't notice the keloids at first but the doctor advised me to massage . I did massage throughly throughout the healing process . However , I still ended up with keloid around my areolars .my nipples are sensitive especially the keloid part . Also the insition going up my back from my breast has a slight keloid . Could you give me an estimate of around how much that should cost .

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. In fact, most women have more sensation after the procedure. If you gain or lose weight, the transferred fat can do the same.The scars should best be treated by your doctor.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Steven Wallach, MD · Answer

A scar revision may make it better and may not. You would also need good after care with possible silicone sheets, etc...

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your question. Based on your photos, you may have a slightly hypertrophic scar. At a year after surgery, you are unlikely to have improvement with steroid injection or silicone sheeting, but you should still give it a try. I typically administer 3 steroid shots over a 3 month period (i.e., one shot a month). If you are not pleased with the result after that, you should consider a surgical revision of the incision.
At the time of your revision, you should have a steroid injection at the time of surgery, and then start silicone sheeting to improve the scar at about 2-3 weeks after surgery. You need to use the sheets for 10-12 hours a day, every day, for at least 3 months. The decision to operate should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!
 
 Best,
Jon Ver Halen, MD FACS

Do I need a revision or would an injection be fine? (photo)

Answers (3)

More Breast Reduction Questions

I'm a 42H. If I decide to have a breast reduction done, which size will I go down to?

Why is breast reduction surgery an outpatient surgery?

I have a white matter showing on my incision after breast reduction surgery. (photos)

Can I go from a size 36DDD to a C cup? What technique would be best? How would this affect breast feeding in 5 years? (photos)

I'm noticing that one breast is healing faster after reduction than the other. Is this common?

Am I a candidate for a breast reduction?

WE SEND PRETTY
EMAILS