How can I fix this breast reduction? (Photo)

Question

I had my breast reduction done about 2 years ago... I'm currently 20 years old and I don't know what to do. Is it possible to get another surgery so it can help my scars? My areola as well looks chewed up .. I don't know what to do. Please tell me this is possible to be fixed..

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.Yes, it is possible to get scar revisions 2 years after breast reduction.  You may also need a series of steroid injections to keep the bad scars from returning.

To be sure, see two or more experienced,
board-certified Plastic Surgeons for a complete evaluation to make sure you are
a good candidate and that it is safe for you to have surgery.

I hope this helps.

Alejandro Nogueira, MD · Answer

You have pseudoptosis (inferior luxation of breas mass without nipple ptosis) and the Wise pattern used with your first surgery was not a perfect fit, there the reason for all the problems.I recommend radical rebuild to avoid this problem recurs, with new skin pattern, making empty the central droopy part of the breast and replace the volume by a breast implant, and reduce areolas. WIth this the goal is having 70% of breast mass from the implants, preferably macrotextured or polyurethane coated to obtain maximum self attachment to ribcage, in order to prevent new ptosis.

J. Garrett Harper, MD · Answer

You need a re-reduction that is based on how things were done previously so that you don't compromise the blood supply to your nipple and have problems. Therefore, if you go to a different plastic surgeon, please go to your previous one's office first and ask for a copy of your operative note.  You will look a lot better with the revision.

Curtis Wong, MD · Answer

and if you are willing to further diminish your size (cosmetically), you can have a 're-do' but lesser amounts of tissue will be removed but your shape will be improve and the size of your areola reduced.  Assuming you had a straightforward reduction, you level of scarring is off the chart and you should plan to employ some strategy to help ameliorate it following your next procedure.  Discuss with your surgeon or others whom you have seen and find out what they can do for you.  Ask about retained areola and know your surgeon's revision policy.

Jason Pozner, MD · Answer

I would recommend a re-reduction which revises the scars as well as the shape. Postoperatively we spend a lot of time on scar treatment and use taping for 3 months on every breast case with paper tape and early laser treatment on almost reductions and lifts (facelifts and tummy tucks too)

William B. Rosenblatt, MD · Answer

You need an in person consultation -- if only the wide scars bother you - then perhaps a scar revision will do. But talk to the doctor, let them know what bothers you and then decide on what you want. Improvement is possible.

Stephen M. Davis, MD, FACS · Answer

In almost ever case you can re-reduced and I believe your breasts can be made to look much better. I would find a plastic surgeon ( or two) in your area, obtains some consults, listen carefully, take note, bring a friend, look at photos and decide if you like the doctor and his/ her work then move forward to improve your breasts. You will do well.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Robert Savage, MD (retired) · Answer

The answer is yes,a revision has a good likelihood of improving your scars and can make the areola diameter smaller at the same time if you wish.With that said a surgeon can't guarantee results especially if you are genetically prone to keloid or hypertrophic scars .

Paul Silverstein, MD (retired) · Answer

Yes, I think you can have your periareolar scars excised and remade, now that the stretch of the surgery is past,  Unless you have poor skin elasticity or tend to make keloid scars, you should have a good result.

How can I fix this breast reduction? (Photo)

Answers (9)

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