Should I need a third breast revision? (Photo)

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.

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