Thinking of getting a revision for shape & scarring, what should I do? (Photos)

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your inquiry! Keep an open communication with your plastic surgeon regarding your concerns. If you're unhappy with your results then we would love to see you in person or virtually to evaluate and discuss your revision options. Schedule a consultation with a Board-Certified Plastic Surgeon so we can help you reach your goals!

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

Your results are typical of the anchor technique. I recommend The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Your nipples seem to be placed slightly higher than optimal; for tha reason your revision needs to include lifting breast fold (IMF) in order to position areolas at the center of the new breast mound. Considering that you have a lot of breast tissue and, obviously, poor soft tissue support, one may think of doing reduction of breast to prevent repetition of bottoming out. Resected breast tissue volume should be replaced with implant. It may be a strange concept for those that did not try it, but works very well in experienced hands and provides good longevity. Hope this may help. Good luck.

Hello @MeganW785, thank you for your question and showing your pictures. Scarring has a maturation cycle of approximately one to one and a half years depending on the patient's skin. An examination would give you more information about what can be done. Please have in mind that the scar takes different features depending on the process inherent to the patient's health and skin condition. I link a video to shed more light. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

It’s a nice result. The lower portion of the breast could use some tightening up by cutting out more skin. Your scars that you show look good. The inframammary scars would be revised as part of the revision which should help

Hi Megan, thanks for your question. In my opinion, it is time to start considering scar revision surgery. The breast crease scars in particular look too wide. Further treatment with lasers and injections are not likely to make a significant change at this point. Take care.

In order to address your concerns you will need to consider a revision. The scars will be revised as part of the procedure. I encourage you to visit with a board certified plastic surgeon near you to begin this process. A lift revision will provide you with improvement in shape, nipple position, and scar revision.

The lower incision can be revised and remove some excess skin to tighten, and even some excess breast to help minimize sagging again. If you have actual keloids and not just hypertrophic scarring, radiation post surgery can be done to help. Your photos don't show keloids.