American Society of Plastic Surgeons
For Medical Professionals
3 months ago

Do I need revision surgery?

I had a breast lift with implants about three months ago. The surgeon that I went to took out the stitches after 7 days, which caused several infections at incision sites. I took antibiotics and eventually the infection went away, however, I am left with ugly infection scars. On my right breast, it looks like my nipple is being pulled down from the shape of the scar.

Procedure: Breast Lift
Location: Riverside, CA

Replies 7

Shana Kalaria
ASPS Surgeon

Yes, you need a revision. Your implant on the right is too high and likely has capsular contracture. Your scars are wide and areolas have stretched out. You would benefit from a revision breast lift and implant exchange. Please see a board-certified plastic surgeon. Good luck!

Rahul Vemula
ASPS Surgeon
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Based on these pictures I think you would benefit from a revision surgery. There is definitely implant malposition on the right side and possibly capsular contracture. Meet with a board certified plastic surgeon to go over all your options

Jaime Caloca Valenzuela
ASPS Int. Surgeon

A Revision with Implant replacement and probable relocation to Subglandular (over the muscle) may be the best option. Best timing will most probably be in at least 3 months so that there is not too much tension on the wounds.

Kenneth Francis
ASPS Surgeon

Dear habisra,

Breast augmentation with mastopexy is one of the most difficult procedures in plastic surgery. It brings the risks of 2 operations, breast augmentation and breast lift, to the table at one time. Additionally, there are 2 opposing forces created, pulling on the skin by the lift and pushing on the skin by the augmentation. This tends to widen both the scars and the areolae. Larger implants are obviously more prone to doing that. So, the "infections" that you describe, were not likely infections at all, but small separations in your incisions from the tension on them. Not uncommon in breast lift and breast reduction surgeries. Treating them as infection is another whole topic. At any rate, while it is possible that you will need some form of revision, implant repositioning, implant downsizing, scar revision, areolar reduction, it is too early in your healing process to consider. Your "high" implant may descend further with time and it is best to allow that process t

Han Hoang
ASPS Surgeon

Combining breast lift and breast augmentation is always challenging and prone to delayed wound healing. At three months post op, your asymmetry is quite severe. Before jumping to another expensive complex revision procedure, I recommend waiting for at least another 3 months and also to consider removing the implants.

Alfred Antonetti
ASPS Surgeon

You have some very large implants much larger than I would recommend for your size. Your best answer was given to you by Dr. Kenneth Francis. Please read it again.


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