2 years post breast reduction - Would implants help me achieve better shape and hide previous surgery scars? (photos)

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

Dear maryaddison1,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You could certainly add implants to improve fullness in the breasts. However, you are now taking a step back and will have a larger breast, which was presumably causing symptoms that led you to the reduction in the first place. So I would approach that cautiously.
I would not anticipate that the implant will hide the scars seen in your photos.

Hello! Thank you for your question and photos. Your incisions seem to have healed beautifully after your breast reduction, as they are lying flat and don't appear to be dark or red in color. A breast augmentation with implants would help with the shape and roundness, as well as give a more youthful aesthetic appearance to your breasts. The implants would especially help with upper pole fullness. Unfortunately this procedure would not hide the incisions from the breast reduction. I would recommend speaking with your Board Certified Plastic Surgeon who can evaluate you in person and give you the best options for possible scar revision/treatment. Best of luck!

Patient who has breast reduction very early in her life like you and is left with significant amount of breast tissue, may experience droopiness and ptosis relatively early after surgery. It would be my suggestion to consider further reduction of breast tissue and to have implants. That will provide longer lasting result and prevent early recurrence of ptosis. Hope this helps.

Hello @maryaddison1, thank you for your question. Implants might improve the shape of the breast. However, the implant placement may not always change the shape or hide the scars. The thing with implants is that you have to change them every 10 years and sometimes in the long run the shape is not what it use to, when you first got them. To shed more light on this, I have attached a video. I think you have good mammary tissue to have a breast enhancement reconstruction that doesn't require prostheses. You can consider an anatomical lift augmentation, which involves reshaping the existing breast tissue and lifting the breast to achieve a more perky breast. This procedure can improve the shape and position of your breasts without the need for implants, potentially addressing your concerns regarding scars and shape, because the incision will be in an L shape leaving the cleavage zone free of scars. And if you just wanted to treat the scars there are several non surgical protocols with combine technology to make it almost not visible. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

It's great to hear that you are happy with the results of your breast reduction surgery. Scarring is a normal part of the healing process and can take time to fade. If you are unhappy with the appearance of your scars, there are several options you can consider, such as scar revision surgery or non-invasive treatments like laser therapy or silicone sheets.

As for your desire for more rounded breasts, breast implants may be an option for you. However, it's important to keep in mind that breast implants will not necessarily hide your scars. In fact, the placement of the incisions for breast augmentation can also result in visible scarring.

Before considering any further surgeries or treatments, it's important to discuss your concerns with a board-certified plastic surgeon who can evaluate your unique situation and recommend the best course of action for achieving your desired results. They can also discuss the risks and benefits of any procedures and help you make an informed decision.


I hope this helps,
best of luck !

You can have implants to help give better upper breast fullness and revise with a lift for more tightening. However, the medial scars between your breasts will still stay. Micro-needling may be helpful.

Implants would provide more fullness to the breasts, however it is important to keep in mind that you wanted smaller breasts when you had your reduction and this will make them larger. You can consider scar revision to help with scars that did not heal optimally. I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns and learn about your options.

Your results from breast reduction look terrific. Breast implants would add more volume, especially to the top of the breasts. Unfortunately, breast implants would not hide your existing scars. I suggest you consult with a board-certified plastic surgeon to see if the breast fold scars could be revised.