Q: Dr. Eppley, I had a breast lift done and new implants put in about three years ago. Unfortunately, the stitches weren’t closed correctly and I have a very bumpy unsightly looking scar under each breast. I want smaller implants put in along with a scar revision on the areola and the vertical scars underneath. I am also interested in rib removal as my ribs have always been much larger in comparison to my body. Can the ribs be removed through the breast lift scar?! Thanks!!
A: Scar revision of breast lift scars usually produce much better scars particularly when the implants are being downsized. There is less tension on the incisional/scar revision closure. I would need to see pictures of your breasts to assess your scars. What is the current size of your breast implants in volume (ccs) and what size were you looking to downsize to in volume. (ccs)
No form of rib removal, anterior or posterior, can be done through breast lift scars. They are simply too far away. I have tried several times to perform subcostal rib reduction through inframammary breast scars but the amount of rib that can be removed is much more limited compared to a more direct incisional approach.
Dr. Barry Eppley