Can a surgeon correct my side rolls through my existing breast-reduction scars, or would the scars need to be extended? (Photos)

Question

I had a breast reduction and still have some fullness and loose tissue along the outer sides of my breasts, near my underarms and upper back. I have attached photos. I think I have dog ears. Could my surgeon lift or remove this side tissue through my existing breast-reduction incisions, or would the incision likely need to be extended farther around my sides? Would liposuction through the existing scar help, or is a longer scar usually necessary when extra skin is involved?

Yily De Los Santos, MD · Answer

Based on your photos, it does appear that you have some residual fullness along the outer breast and underarm area, which may represent a combination of excess fatty tissue, redundant skin, and what are commonly referred to as “dog ears.”

Whether this can be corrected through your existing breast reduction scars depends on how much extra skin is present. If the concern is primarily excess fat, liposuction alone may provide a noticeable improvement with minimal additional scarring. However, if there is significant loose skin, extending the incision slightly toward the side of the chest is often necessary to achieve a smoother, more natural contour.

Zoran Potparic, MD · Answer

In your case, a combination of aggressive liposuction  and conservative skin excision is needed to correct lateral chest-back folds. This is not necessarily part of breast reduction surgery. Good luck.

Yasemin Aydinli, MD · Answer

During your breast reduction the incision appears to have already been carried far enough to limit this side fullness. There is naturally a limit to how long an incision can be made while you are lying on your back during surgery, so some tissue toward the side can remain. From what I can see in your photos, once the fat tissue underneath is reduced with liposuction, this appearance seems likely to improve, and this can usually be done through or near your existing scar. Of course, the final decision can only be made by physical examination.

Can a surgeon correct my side rolls through my existing breast-reduction scars, or would the scars need to be extended? (Photos)

Answers (3)

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