Should I need a third breast revision? (Photo)

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi Lannyd1987,

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. Also, you may need to wait until after 6 months when your implants have completely dropped and fluffed into their final position. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plas

Good afternoonThe simple answer is maybe- but you don't know yet, and you won't know for sure for another 3-6 months if the asymmetry you experience gets better and is okay to live with or if you want to try to correct it with another revision.

Your breasts are large and low on the chest wall.  The technique I recommend is explantation using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Without pre-op photos, benefit off physical exam ,and reading your op-reports- it's difficult to give the best answer. Furthermore, asymmetry is the rule not the exception. Give it 6 months and then re-evaluate.

Thank you for your pictures and questions. I am sorry to hear about your troubles. At only one month since surgery, it is much too early to consider any type of revision procedure. Try to be patient and let the healing complete before you start being critical of the results. Often with revision breast surgery, things are difficult and it is hard to get things just right. I would discuss your concerns with your surgeon as you heal. Often times, revising a problem by placing a larger implant just ends up creating newer problems. I would wait 6-12 months before considering any subsequent revisions and when you do, make sure your plastic surgeon is board certified by the American Board of Plastic Surgery.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

I am sorry to hear about the complications you have experienced.  Every experienced plastic surgeon will have occasional patients who undergo several procedures before the desired outcome is achieved.  In your case, based on your photographs and description of concerns, you will be best off communicating directly with your plastic surgeon (and/or seek second opinion consultations with well experienced board-certified plastic surgeons in your area).  Careful communication of your concerns/goals will be key when it comes to coming up with a plan to achieve an outcome that you will be happier with. This will likely involve additional surgery, possibly involving adjustment of breast implant capsules and selection of appropriate breast implant type/size/profile…Best wishes.