Breast lift correction - can these dents from nipple to crease be improved? (Photo)

Question

I hsd my implants removed 7 years ago and a anchor lift right after . I developed the dreadful dents from nipple to crease . i was told i didn't have enough breast tissue from the dr . Orher drs told me it was the way it was stitched .I don't want anoth B/a . ive since loosened a lot which makes the dents more obvious i'd like to avoid fat if i could.

Mert Demirel, MD · Answer

Dents from the nipple to the crease after an anchor lift can happen from scar tethering, tight internal sutures, lack of soft tissue, or the way the lower pole healed after implant removal. If the breast has loosened over time, these indentations can become more visible.
If you want to avoid another breast augmentation, improvement may still be possible, but the options depend on how much tissue you have and how tightly the scar is attached. A revision lift can release tethered scar tissue, rearrange the lower breast tissue, and revise the vertical scar if the dent follows the incision line.
Fat grafting is often helpful for this type of contour problem because it can fill a hollow and soften scar tethering, but it is not the only option. If the main issue is a tight scar band, scar release and re-closure may improve it. If there is true volume deficiency, avoiding fat grafting may limit how much correction is possible.
It is also important to know that these dents can improve, but they may not disappear completely. Thin tissue after implant removal makes perfect smoothing more difficult, especially without adding volume.
My advice would be to see a revision breast surgeon and ask whether the dent is mainly scar tethering or lack of tissue. If it is tethering, scar release and lift revision may help. If it is volume loss, fat grafting may be the most natural option without going back to implants.

Gary M. Horndeski, MD · Answer

You would benefit from a scar revision to improve the dents or concavities you dislike.

Best Wishes,

Gary Horndeski, M.D.

Semih Yildiz, MD, FEBOPRAS · Answer

That type of vertical indentation is usually from tethering/scar contracture, a lack of tissue under the scar, or the way the lower-pole tissue was closed during the lift. The photo shows a visible crease from the areola toward the fold with some lower-pole looseness, but an exam is needed to tell how much is skin, scar, and missing volume.
If you want to avoid implants and fat grafting, options may still include scar release, revision of the vertical/lower scar, and local tissue rearrangement during a revision lift. The limitation is that releasing a dent often leaves a space that needs soft tissue support; without fat or an implant, the improvement may be partial. A surgeon who does revision breast lifts can assess whether your remaining tissue can be reshaped safely.

Daniel Barrett, MD · Answer

Dear Sophia444,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Laura Roider, MD · Answer

@Sophia444 You could undergo a scar revision (+/- Fat grafting) to help with the indented appearance of your vertical scar. It may never be completely smooth but the goal would be to release the tethering point and close in layers to avoid this happening again.

Ramiro Morales, Jr., MD · Answer

Thank you for your question and picture.  From the looks of your picture this seems like something that could be repaired even in office with local anesthesia.  Be sure to see a Board-Certified PS for a consultation to receive the best options.

Michael Baumholtz, MD, FACS · Answer

Thank you for sharing your photo and your story. what i see in the single image is either the vertical scar causing an indentation vs the softer breast tissue "falling" over the vertical scar. one might get better with excision / reclosure and possible fat grafting. the other might involve adjusting the lift itself. would need an exam to know better. but the short answer is yes - there should be a way to make this better!

Gerald Minniti, MD, FACS · Answer

get a consultation from a breast specialist. It is likely you can have normal looking breasts without dents or wrinkles.

David C. Yao, MD, FACS · Answer

Hello- thank you for sharing. You have a vertical scar with some contraction. Sometimes it is caused by the closure and subsequent healing, and sometimes it may be contraction with possible body changes over time. A revision may be possible but it depends on your tissue compliance and laxity. Hope this helps. Best,
David Yao, MD FACS
Forma Plastic Surgery

Jacob Carlson, MD · Answer

The indentation is likely due to the scar formation. That scar formation might just be limited to the skin level, in which a superficial scar revision may be adequate enough to create a more contoured shape to the lower pole of the breast. If the scar tissue extends deeper and/or there is a deficiency of volume, then the scar tissue would either need to be released or removed from the deeper tissue. If that resulted in a deficiency of volume, that space would need to be filled with something - either the surrounding breast tissue or transferring fat from somewhere else from the body.
I think your surgeon would have a better idea of which of those options would be best for you after performing an in-person physical examination.

Breast lift correction - can these dents from nipple to crease be improved? (Photo)

Answers (12)

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