Top Surgery Revision in Istanbul

Revision surgery corrects something that still bothers you after a previous top surgery. Most first operations achieve a good result, but small irregularities are common, and some can only be corrected once the chest has fully healed. Dr. Hakki Izmirli performs revision surgery in Istanbul for international patients, including those whose first operation was performed by another surgeon.

Common Reasons for Revision

Dog ears: small folds of skin and fat at the outer end of the scar, towards the armpit
Residual fullness: leftover tissue under the nipples or at the sides of the chest
Asymmetry: a difference in shape or volume between the two sides
Wide or raised scars
Nipple problems: nipples or areolas that are too large, poorly placed or uneven, or partial loss of a nipple graft
Skin excess left after a keyhole or periareolar operation

What Can Be Done

Problem	Typical correction
Dog ears	Excision of the extra skin and fat, extending the scar slightly
Residual fullness	Removal of remaining tissue and/or liposuction
Asymmetry	Contouring the fuller side to match the other
Wide or raised scars	Scar revision; raised scars are often treated non-surgically first
Nipple size or position	Reducing, repositioning or re-grafting the nipples
Skin excess after keyhole or periareolar	Conversion to a technique that allows skin removal, such as double incision

A scar revision replaces one scar with a new, ideally finer one; it cannot remove a scar completely. Dr. Izmirli will tell you honestly what can and cannot be improved.

When to Consider Revision

The chest keeps changing for months as swelling goes down and scars mature, and some irregularities improve on their own. Revision is therefore usually planned once the tissues have settled, at least 9 to 12 months after your first operation. If you are unsure, send photos; it is often possible to tell early on whether something will settle or will need correction.

How Revision Surgery Is Performed

The operation depends on what needs to be corrected. Smaller corrections such as dog ears or a scar revision can often be done under local anaesthesia, while more extensive revisions are performed under general anaesthesia. Where possible, Dr. Izmirli uses your existing scars so that no new scars are added.

Recovery

Recovery after revision is usually shorter than after the first operation. You stay one night in hospital and six nights in Istanbul in total for check-ups. You may need to wear a compression binder again, and your aftercare continues remotely once you are home.

Risks

Revision surgery carries the same types of risks as the first operation: bleeding or haematoma, fluid collection (seroma), infection, wound-healing problems, scarring, and changes in sensation. Operating on tissue that has already been operated on can be more complex, and in some cases the result cannot be fully corrected. Dr. Izmirli discusses your individual risks at your consultation.

Planning Your Revision

Send us clear photos of your chest from the front and both sides, and, if possible, details of your first operation: the technique used, when it was performed, and any complications. Dr. Izmirli will review them and tell you what can realistically be improved before you make any travel plans.

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About the surgeon

Dr. Hakki Izmirli

Plastic surgeon with 20 years of experience, based in Nişantaşı, Istanbul. Dr. Izmirli trained at Istanbul University Faculty of Medicine and completed his residency in Aesthetic, Plastic and Reconstructive Surgery at Kocaeli University. His research on free nipple grafting has been published in Aesthetic Plastic Surgery, Plastic and Reconstructive Surgery and JPRAS.

Professional memberships: WPATH (Full Member) · ISAPS · ASPS (International Member) · TPRECD

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Medical disclaimer: The information on this website is for general information only and does not replace a personal consultation with a doctor. Every patient is different; results vary from person to person and cannot be guaranteed.