Would I benefit from a fat transfer after implant removal and areola reduction? Hesitant about anchor scars. (photos)

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear sbtv13,
Breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello @sbtv13, thank you for your question. It depends on the surgical technique of the specialist performing the surgery. Whenever I perform an explantation, I perform an immediate breast reconstruction, and the scar is the smallest possible in an L-shape. Consequently, the cleavage area is scar-free, and the breast tissue and nipple size and position are adjusted. Explantation should be performed with capsulectomy, along with sending the tissue to pathology to avoid inflamatory processes. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS.

I encourage you to begin by visiting with a board certified plastic surgeon near you for an exam and discussion of your goals. You surgeon can help determine what options would be recommended based on the amount of native breast tissue you have. It appears from your photos that a lift would be beneficial for you.

You might consider exchanging for something smaller. A vertical lift could be done and avoid the underneath scar, with or without implants. An examination is needed to see how much actual breast tissue you have and if a fat transfer could be done. It may have to be done at a later time.