Will hard scar tissue under the skin of incision on right breast go away. Will breasts always sit this high? (photos)

The old blood that leaked out after 5 weeks has caused inflammation and some scar contracture, which will should resolve completely and will certainly improve a great deal over the next few months.   It was probably small, and due to the lift, without affecting the implants, given that both are at the same level.  Your implants may continue to drop over the next several months, and I would consult with your surgeon for exercises or wraps that you could use to help improve the chances that they will drop. With a breast augmentation and breast lift, there is a definite chance that they will not drop, and that a revision would be necessary to optimize the implant position, but only time will tell.  In general your breasts look fine for this period after surgery, and there is a good chance you will wind up with a nice result without the need for a revision.

You are still going through early healing and your scars are forming and changing.  Massage the contracted scar on your right breast.  It can take months for scars to soften and relax.

Thank you for your pictures. It appears you have a scar contracture of your right breast. It is early in the healing process in this

Your plastic surgeon will always be your best resource when it comes to ruling out problems that may be causing delayed breast implant “settling”. Generally speaking, sub muscular breast implants may take several months to “settle”, depending on exactly how/where the breast implant pocket is dissected. Also, generally speaking, firmness  associated with scars tend to soften over the course of the first year postoperatively. Again, your plastic surgeon may have his/her preferences when it comes to scar treatment. Continue to follow-up with him/her on a frequent basis. Best wishes.

Hi Tanamaria,yes, your implants are too high, and you have a fresh scar contracture on the right side.first, go to the gym, run, do the fly exercises, lift weight...buy a cheap hand-held massager and massage yourself as many times you can during the day on both breasts.get one of those silicone gel cream for scar ( Mederma for ex ) or if too expensive, just use your favorite lotion.get a breast band from your surgeon, and wear it 24/7 on top of your breasts, without a bra.get a prescription for Singulair from your surgeon: this is an asthma medication, but it helps prevent scar contracture around the implant.try all of the above until 6 months post-op. and hopefully they will drop lower and your breasts should look nicer.good luck,Florence Mussat

Dear Tanamaria,

Thank you for submitting the photos, as they are of great
assistance and your concerns that the scar tissue in the right breast and the
new breast implants are riding high can be seen from the photographs. Breast augmentation performed under the
muscle in general results in early high-riding implants which, with time, will
descend and generally tend to position lower in the pocket and no longer have
the appearance of being too high in the pocket.
This upward displacement and overprojection of the upper pole will
improve with time as the breast implants descent. In general, as you had the history of leaking
fluid from the right implant, it is time to see your operative surgeon, as they
will have a better idea of the exact surgical manoeuvres performed during the
procedure. First you should ensure that
there is no delayed wound healing or risks with old blood in the pocket. If the scar tissue and implant pocket is
healing and resolving, you can certainly begin aggressive breast implant and
pocket massage. The downward massage of
the implant will often stretch out the lower pole and allow the implant to
settle lower in the pocket to optimize your aesthetic appearance. My best advice would be to see your operative
surgeon to see if it is possible at this time to begin aggressive breast
massage, as not all breast surgeons believe that this improves breast implant
position. Other options at this time
would include a garment called a breast wrap, which you wear across the upper
pole of the implant to help position the implants lower on your chest wall and
lower in the pocket. Overall, the volume
and contour appears to be quite good and descent of the implant needs to occur
on its own or with your massage and assistance. Reassurance at this point that most implants do drop in the
pocket and settle will help you with your anxiety at this point.

I hope this information is of some assistance and best of
luck.

Sincerely,

R. Stephen Mulholland, MD

Certified Plastic Surgeon

Yorkville, Toronto

Thank you for your question.  I am very sorry that you're having this difficulty.  It is still possible that your breast implants may settle and drop further.  Please ask your plastic surgeon about breast implant displacement exercises and possibly a superior pole wrap.  I agree with massage to treat the contracted scar.  However you need more input from your plastic surgeon and should not rely on the nurse's advice alone.  You may have had a hematoma which has caused the cut scar contraction and possibly loss of some breast tissue.  I suggest you visit your plastic surgeon for direct examination and diagnosis.  However don't give up time is on your side.