Would a breast reduction revision with a lift help correct square shape? 13 years post op (photos)

Question

Thirteen years ago I had a breast reduction going from an E to DDcup. I didn’t have a vertical scar on my right breast, only under the fold. On my left, I had a vertical, anchor and areola scar as more tissue was removed. I had a great deal of back pain and still do, I felt there wasn’t enough tissue removed at the time. Now I’ve had kids, I’d like a lift and potential further reduction. I’d like to create a vertical scar on my right breast as I feel it’s too square. Is this a possible? Thanks!

Daniel Barrett, MD · Answer

Dear sierra9999,
boxy shape of your breasts is most likely caused by anchor pattern incision. I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

J. Timothy Katzen, MD, FACS · Answer

Hello Sierra9999,

Thank you for your question about whether a breast lift can help correct the square shape of your breasts following a breast reduction revision. I appreciate the history and pictures you've provided. Yes, I believe a revision combined with a breast lift can effectively address the square shape of your breasts. It seems that over time, your breasts have developed this shape, possibly due to scar tissue formation. Regardless of the cause, this can be corrected. We can utilize the previous incisions and create a vertical scar on the right breast if needed. If you prefer, you can also opt to have the breasts further reduced during this surgery. I hope your revision breast reduction not only achieves your desired breast appearance but also helps in reducing your back pain. Wishing you the best of luck.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Joel Patrick Maier, MD · Answer

It looks like your breasts have been maximally lifted. I suppose a properly sized, conservative saline implant (or fat transfer) will help with projection, fullness and shape. Whether or not to throw in a small vertical mastopexy is up for discussion, but certainly not a major part of the rejuvenation. Thank you for sharing.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Yes, you can have a lift with a small reduction and use the vertical incision to give a better shape. Find a board-certified plastic surgeon in your area and discuss your concerns and options.

Mark Eberbach, MD · Answer

It seems that your result is fairly good given the reduction years ago. The transverse squareness seems to be an issue with the lateral sweep of your breast that can often be corrected by a lateral axillary lift combined with perhaps a minor breast revision. For more upper pull fullness, if desired, you could consider an implant, or perhaps fat grafting.

Good luck

Good luck

Darryl J. Blinski, MD · Answer

Yes based on the nicely posted photos you need revision lift/small reduction. Fee from $5,000+. Best to in person or virtual consult with......

Would a breast reduction revision with a lift help correct square shape? 13 years post op (photos)

Answers (7)

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