Do I need another breast lift, scar revision, or areola reduction? (photo)

Question

Hi I had a breast lift in dec 2020 I have scarring around my nipples post op, this maybe down to healing? can this be corrected via scar revision? I would also like my areola reduced, what would best option another lift or scar revision and areola reduction?

Leila Kasrai, MD, FRCSC · Answer

If your nipples are located below your breast fold, a secondary breast lift can be performed. If not, areola reduction can be performed alone to improve the scars and create a more proportionately balanced shape.

Raffy Karamanoukian, MD, FACS · Answer

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

Donald R. Revis Jr, MD · Answer

Good morning,
I would revise your areola scars to reduce your areolas and improve your scarring, but you also have a very boxy look to your breasts which I would treat by also revising the vertical limb of your previous lift.

Daniel Barrett, MD · Answer

Dear LmlLmlLml,
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

The areolae can be made smaller at the same time as the scars are revised.  Later, micro-needling can be done to your scars if they become thick again.

Do I need another breast lift, scar revision, or areola reduction? (photo)

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