American Society of Plastic Surgeons
For Medical Professionals
 
abbeys
4 years ago
Answered

Scars

I have to get my saline implants redone, as I have one that’s deflated. When I had them done I also had a lift and the dr went through my nipple so I have no scars. I want them replaced, my dr said they couldn’t go through the nipple 2nd time and is have scars even to just take them out. Is it possible to get them replaced and avoid the scars?

Procedure: Breast Augmentation
Location: Bountiful, UT

Replies 6

Karol Gutowski
ASPS Surgeon

In most cases, your implants can be replaced through the same incision. However, each patient is different so there may be a reason why the surgeon can't do it. Consider a 2nd opinion.

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Matthew Camp
ASPS Surgeon

I think this may have to do with what type of implant you are considering. Silicone implants require a larger incision than saline implants. If you are again placing saline implants, it should be a simple matter to use your pre-existing scars.

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Barry Citron
ASPS Surgeon

It might be. The simplest way to begin to answer your question is for you to ask the surgeon who told you that it could not be done why it could not be done. A second opinion is valuable when you are not happy with the first opinion. Best wishes.

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Jon Harrell
ASPS Surgeon

If you had a periareolar Mastopexy the surgeon may have placed a permanent suture to prevent the areola from stretching. Going back through the scar may damage that suture and lead to progressive stretching of the areolae. Assuming the areolae are large enough to allow placement of the implant that incision could be used again and the surgeon could try to avoid damaging the suture. However, if the suture were inadvertently cut it could require repair at the time of surgery. Best of Luck Dr Harrell

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Katerina Gallus
ASPS Surgeon
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Hello and thank you for your question. I am sorry that you have deflation of the implant. Usually, removal and replacement can be performed through the same incision as prior, but it depends on some other factors as well. This includes the type and size of the new implant and whether or not you would benefit from a lift. I would ask your surgeon to explain the reasoning and/or seek a second opinion. Best of luck.

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Nelson Castillo

Thank you for sharing your excellent question. In most cases implants can be removed through the original incision but repeated openings of the areola can lead to a tethered or depressed scar, perhaps this is why your surgeon is advocating a new incision? or perhaps you need a more powerful lift after implant removal?

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