1 year post-op, thick scarring, low nipples, asymmetry. Do I need a revision? (photos)

Question

I am now 1 year post op and I am considering a revision. The scarring in areas is very thick, I feel that my nipples have been placed too low and they appear very unsymmetrical (I understand they are sisters nor twins, but it is very obvious). The surgeon has responded that the scaring in some areas is more visible (thick) due to my genetics. If my nipples were higher, they would peek up over my bra and it is normal for them to drop after surgery. I am 40 and are having no more children.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position.  You will need a revision and the technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Dazzling8937,
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

Connie Hiers, MD, FACS · Answer

A revision could help give more symmetry and scars could be treated with micro-needling to improve the appearance.

1 year post-op, thick scarring, low nipples, asymmetry. Do I need a revision? (photos)

Answers (3)

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1 year post-op, thick scarring, low nipples, asymmetry. Do I need a revision? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

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