Scars have healed badly - Am I right to ask for revision? (photos)

Question

I had a breast lift 7 months ago but the scars have healed badly, stretching the lower pole and leaving less volume in the upper pole. My nipples are pointing slightly upwards now an the breasts have moved out to the sides TIA

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Dear Nikki7777777
Thanks for your question and sharing your photographs. Regarding the scar, you still have room for improvements. Scars undergo transformation up to 18 months post surgery and whatever you are left with around that time would be the final appearance. In terms of not much volume in upper pole, this is always something that happens with an uplift. Mastopexy or uplift is an operation with an expiry date. Gravity will always take its toll. How soon after surgery this happens is dependant on multiple factors such as genetics, smoking , nutrition , level of physical activity etc. There are few ways to improve upper pole fullness such as using a breast implant or multi stage fat transfer to the breast. I would not rush to any surgery for now and will wait at least on year before seeking any revision surgery.

Raffy Karamanoukian, MD, FACS · Answer

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

Camille Cash, MD · Answer

From your photos it appears you have hypertrophic scars.  Typically you will want to wait about a year from surgery before considering scar revision to allow the scars to mature.  You can elect to have a revision of the lift at that time if you wish.

Daniel Barrett, MD · Answer

Dear Niki7777777,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ersin Gonullu, MD · Answer

you look you have widened and hypertrophied scars with flattened upper pole. you could have a revision breast lifting surgery with revise and make all scars thinner, and fat graft injection for better upper fullness. fyi

Scars have healed badly - Am I right to ask for revision? (photos)

Answers (7)

Answer: Scars

Answer: Scars

Answer: Breast lifting revision with upper pole fat graft

Answer: Breast lifting revision with upper pole fat graft

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Scars have healed badly - Am I right to ask for revision? (photos)

Answers (7)

Answer: Scars

Answer: Scars

Answer: Breast lifting revision with upper pole fat graft

Answer: Breast lifting revision with upper pole fat graft

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Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.