American Society of Plastic Surgeons
For Medical Professionals
5 years ago

Breast augmentation scar revision and going larger

Hey I had a breast augmentation in 2014 ended up bottoming out. Had 375 under muscle! My ps told me it was because my tissues were soft! Later had a revision and did not heal correctly ! Saw him today and recommends not fixing scars and not going bigger! I’m looking at 450/500! What are your thoughts on this and is there anyway I can attach a photo of the scar!

Procedure: Breast Augmentation
Location: fredericton, NB - Canada

Replies 4

Jeremy Sanderson
ASPS Surgeon

Hard to say much regarding the scar revision without seeing the scars. If your “tissues are soft,” then I definitely would not go with a bigger implant. If your native tissue did not hold a 375ml implant easily then because of the added weight, I would not expect a 450 or 500ml implant to sit in a good position. The larger, heavier implant would likely bottom out as well.

Steven Wallach
ASPS Surgeon
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In order to assess you appropriately, you would need to be seen in person. If you had bottoming out with the volume you have at present, it is not a good idea to go with a larger and heavier implant which may cause bottoming out again to occur.

Shashidhar Kusuma
ASPS Surgeon

I would agree with my colleagues above. It may also be that sometimes, the pocket maybe too lateral, too big etc. In these cases an assessment needs to be made to see if the implant is positioned properly and is of the right size for the breast. Sometimes the pocket needs to be changed and a lift done at the same time to revise the whole situation. Sometimes focusing too much on the volume is not the right solution. For this situation, doing a detailed consultation is very necessary.

As for photo upload, I don't believe that this site offers that feature yet. Would be very helpful though.

Many of us do virtual consults as well.

Jon Ver Halen

Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!


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