Scars and loose skin post breast revision/explant, would a revision restore my IMF? (Photo)

Question

Due to health reasons I had an explant almost a year ago. My surgeon made the incision close to my original incision (although not exactly on it). I'm feeling a lot of insecurity over my compromised inframammary fold and also the scars themselves. They are low on my body (hard to hide in swimsuits, etc) and there's looser skin there so when I bend over I have a roll (like a loose skin). Would a revision restore my IMF and reduce scars?

Daniel Barrett, MD · Answer

Dear Magical4189,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

I recommend a circumareola lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

An examination is needed to be certain, but you probably could achieve improvement with a revision. If you have any donor fat, that would be helpful to give more volume in the lower medial areas of your breast.

Mats Hagstrom, MD (license on probation) · Answer

I don’t see any simple revision that’s going to have A big impact on the outcome of your implant removal procedure.
Without knowing what you look like before, it’s challenging to assess the outcome, but I’m guessing you in reality had two IMF locations.
One was based of the initial breast diameter, and one was based on the increased diameter with the implants.
Plastic surgeons will make the incision lower than the IMF so that the final incision doesn’t sit on the breast itself after augmentation. 
I don’t think having more surgery is going to change your outcome in a significant manner.
Best,
Mats Hagstrom MD

Scars and loose skin post breast revision/explant, would a revision restore my IMF? (Photo)

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Answer: Implications of having implants removed

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Scars and loose skin post breast revision/explant, would a revision restore my IMF? (Photo)

Answers (4)

Answer: Implications of having implants removed

Answer: Implications of having implants removed

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.