What kind of revision for my breast lift should I undergo, and when is the earliest I can do it? (Photo)
Doctor Answers 5
Breast lift revision
What kind of revision for my breast lift should I undergo, and when is the earliest I can do it?
Kenneth Hughes, MD
Los Angeles, CA
Unhappy Breast Lift Result
I am sorry that you are not happy with your result after a 'circum-vertical' breast lift or mastopexy. Looking at your post-operative result I felt that your shape was nice, but you had significant scar spread. I was surprised to see your pre-operative photo and how little had changed due to the surgery.
Well, the addition of implants would certainly make your breast shape more appealing, and add more lift as well. The real issue is ensuring that your scars heal much better a second time around. A permanent suture placed around the areola to ensure size and lift should be part of that mastopexy. This 'round block/circumareolar/purse string' suture is usually a large caliber permanent suture designed to maintain size and shape of the areola. When done as part of a vertical lift, there should be even less expansive forces to widen the areola. Why you also had a significant spreading of your vertical scar seems odd to me, as well. In general, revision would not put you at risk of your scars being worse; our main concern is making them better.
Post operative taping for a prolonged period, usually three months, has been part of my regimen for anyone that has long scars, and evidence shows that this support helps with scar appearance and minimizes scar spread. As part of an effort to get maximum improvement, I would recommend long term taping. As an aside, your residual areolar pigment would be removed as part of the revision surgery.
Best of luck!
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Poor scarring post mastopexy
I agree that your breasts do not appear to have changed much in contour/shape from your preop photos, but now you have scars that are more visible. If you would like an augmentation, by all means consider doing it for those reasons, but it is not necessary in order to improve the scars. If you do undergo a breast augmentation, don't go too large as these scars (and skin) will need to be excised.
Your scars will improve over time (1-2 years), but if the brown area beneath your current areola is residual from before surgery, then that will not fade and you may want to consider revision for that reason.
Good luck to you.