How to actually fix my breasts (breast reduction bottoming out, dog ears and wide scars)? (Photos)

The shape and contours of your breasts can be improved with a revision. It is likely, however, that this will reduce your volume further. If this is an issue, implants can be added at the time of the revision. Discuss your options first with your surgeon. You can then seek a second opinion if needed.

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

Thanks for the question. You need proper assessment by a plastic surgeon to determine what has happened and what can be done to improve results. You might benefit from revision reduction specially on outer aspect and scar revision. You might benefit from liposuction on the chest wall on the outer aspect and deep anchoring sutures to define the outer breast borders.

Thanks for your question! It's quite difficult to give an accurate assessment over the internet. I think you should seek an in-person evaluation so that a doctor can examine you more effectively. Good luck!

Dear abz01,
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

The inferior part can be lifted and the scar can be redone. Plus the lateral excess can be trimmed. However, this will not be covered by insurance since you are too far out from the original procedure.

Here are some steps you can consider:

1. Consultation: Schedule a consultation with a skilled plastic surgeon who specializes in breast surgery. They can assess your specific concerns and provide tailored recommendations.

2. Bottoming Out: If you’re experiencing bottoming out (where the breast implant drops below the natural breast fold), surgical revision may be necessary. Your surgeon can discuss options such as internal sutures to reinforce the breast pocket.

3. Dog Ears: Dog ears are excess tissue or skin that can sometimes develop at the ends of surgical incisions. Revision surgery may be required to remove or reshape them.

4. Scar Management: Wide scars can be improved through scar management techniques. This may include silicone sheeting, topical creams, or laser treatments. Your surgeon can guide you on the most suitable approach.

5. Follow Post-Operative Care: Adhere to your surgeon’s post-operative instructions diligently to ensure optimal healing and minimize complications.

6. Consider Timing: In some cases, it may be best to wait until the breast tissues have fully settled and healed before pursuing revision surgery.

Remember that each case is unique, and the best approach depends on your specific situation. Always consult with a skilled plastic surgeon to discuss your concerns and explore your options for breast revision surgery.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

I am sorry for your poor result. From your photos you will need a full revision for improvement. The tissue on the sides of the breasts can be addressed to improve shape as well scar revision. See only board certified plastic surgeons near you for consultations. Be sure to discuss your concerns and review before/after photos of her/his work. There is no harm in getting more than one opinion.

Hello dear
So sorry to hear your story. Looks like your surgery was in the hands of an unfortunate surgeon. This result isn't expected from a decent breast lift operation. You could benefit a lot from revision surgery to fix the shape. Also the fat pockets under & around the breasts need a lift and liposuction. Your case is not something that can be fixed with only breast revision. It needs to be reviewed from a more holistic point to create better results in the long term. Please make sure you pick the right surgeon to conduct these operations. Take your time to think and research.

Based on the posted photos you need revision of all scars which will correct any bottoming. Bilateral axillary excision
Fee $8,000. Best to virtual consult with…..