Are my scars lower than they should be? Almost 6 months post op, breast augmentation 210cc implants (photos)

Question

I had 210cc implants in April and feel my scars are low. Alongside the bottoming out issue. Scars can be seen in a bikini and some Bras.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about your breast augmentation scars.

Typically, when implant are placed with an inframmary incision, it will be in the crease of your breasts.

For specific questions like this and about your recovery in general, it is best to speak directly with your doctor or doctor’s representative – such as his or her nurse, or the physician on call for the practice.

You will likely get many differing opinions from members of the RealSelf Community, but they have not personally seen or examined you. Nobody should know you or your unique set of circumstances better than your doctor.

If you feel you are not being listened to or you are doubting your doctor’s recommendations, then it is certainly within your rights to seek a second opinion and get the advice from another board certified physician. This should be done through an in-person consultation with a thorough evaluation, including a review of your history, review of all prior treatment and with a physical examination.

Best wishes!

Semih Yildiz, MD, FEBOPRAS · Answer

The photos show low visible inframammary scars and some lower-pole fullness, but a proper exam is needed to decide whether this is true bottoming out, a low incision placement, implant pocket stretch, or simply how the breast fold and bikini line meet.

At almost 6 months, scars may continue to fade and soften, but their position usually will not move much. If the implant pocket or breast fold is genuinely too low, treatment is usually surgical rather than scar cream or massage. Options can include tightening or raising the lower pocket, revising the fold, adjusting the implant pocket, or revising the scar position, depending on what your surgeon finds on exam. I would discuss this directly with your operating surgeon and ask them to compare your current inframammary fold, nipple-to-fold distance, and implant position with your early post-op photos. If revision is needed, many surgeons prefer waiting until the tissues are stable unless there is rapid worsening.

Martin Jugenburg, MD · Answer

Hello thank you for you question. Usually the incision is made just below your natural breast crease. Sometimes when placing and implant the incision that was made can float a bit usually upwards. I would speak to you plastic surgeon about the results and express your concerns.

Brian K. Reedy, MD · Answer

Thanks for your question! Your scars do appear to be lower than I would consider ideal. I would suggest reaching out to your plastic surgeon to see what options they have for scar care. Good luck!

Arjun Handa, DNB · Answer

The incision should be in the breast fold and if its visible in frontal profile, then it’s too low.According to me, the position is also too lateral and they are Assymetric. Overall, you may consider a full revision with placement of higher profile implants to increases the distance between nipple and breast fold which will necessitate lowering he fold and the scar will come to lie in that new fold.
Alternatively, if you are happy with the position, then scar treatments and body make up might help to decrease the visibility of the scar.

Daniel Barrett, MD · Answer

Dear Loren 1991,
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

Connie Hiers, MD, FACS · Answer

You do have some bottoming out on the lower side. Please discuss your concerns and options with your surgeon.  Do wear a good supporting bra.

Camille Cash, MD · Answer

Yes, from your photos it does appear that your scars are too low.  Typically they are within the breast fold and not visible in bathing suits or bras.  I encourage you to discuss your concerns with your surgeon.

John J. Obi, MD · Answer

Thank you for your inquiry and photos.  I agree that your scars are definitely too low on the chest.  I would question why the surgeon decided to place them in that location and what can be done to at least improve on the appearance of the scars.

Omer Sagir, MD - Account Suspended · Answer

Hello dear, 
Thank you for the question. To be straight forward, yes your scars might have been upper than this about 2-3 cm. They definitely don't look bad and seems like you healed nicely. If you are so bothered by them, I recommend you to have a scar revision if you see it necessaary.

Are my scars lower than they should be? Almost 6 months post op, breast augmentation 210cc implants (photos)

Answers (10)

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