Scars on stomach from tuba breast augmentation; can it be fixed? (Photo)

Thank you for your question. It is difficult to tell from your photos. Please speak to your plastic surgeon about your concerns as they know your case best. 

Hello,Having personally placed over 1000 pairs of breast implants via the TUBA, I have had my share of seeing this problem. I have found that aggressive liposuction/scar lysis has had mixed results, from complete resolution to minor improvement.  Most get about a 50% improvement. Best of luck!

Hello, there are multiple ways to improve scars after surgery but without a proper assessment it is difficult to provide specific recommendations.  I would recommend discussing your concerns with your surgeon.

What you have is unusual after a TUBA, and it appears that you have had them for a long time. These lines can usually be improved by injection of a locally active steroid (Kenalog) or by using a liposuction canula to break up the scarring.  Very firm massage to the lines may also help, but over a long period of time.

Many surgeons do not perform TUBA for a variety of reasons. It is not uncommon to see ridges/irregularities in the upper abdomen as the process of getting up to the breast to make the pocket requires passage of a tubular structure using a blind technique that pushes through the tissue to make a pathway. This can obviously lead to irregularity or a hollow tunnel in the fat, which can result in ridges. You might have some improvement with liposuction, possibly in combination with some fat grafting to the ridged areas (not a very precise technique, to be honest) to get some improvement. I took the training course from the inventor of the TUBA technique and have to say I had significant reservations about its safety and predictability as a technique, so I decided against offering it, especially when inframammary incisions can fade very nicely when properly placed, and when we now know that capsular contracture rates are higher with periareolar incisions from a risk standpoint.

can be managed by liposuction (use the SAFE technique so ask your surgeon) and you could even combine this with ThermiRF to help tighten those ridges.  But you should be able to improve on your contours.

A scar revision can potentially be performed to attempt to improve the appearance of the scar. Realize that no matter how good the results may be, you still will always have a scar present - it can't be magically erased. Without an examination and full consultation, it is impossible to recommend this or any other option to you at  present. Instead, you should seek a consultation with a reputable board certified plastic surgeon and base your decision on the information provided.Steven Turkeltaub, MD

Hello and thank you for your excellent question. Yes, your TUBA incisions can be revised. Of course, you will need an in-person consultation to evaluate you for this procedure. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. I suggest that you find a board-certified plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of patients who have had similar procedures. Good luck!
Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc”