Areola Necrosis After Breast Augmentation

I had a periareolar breast augmentation with 375 cc implants. My size was a cup A. After the surgery I have had terrible pain for 20 days and tissue necrosis developed along the cut,bilateraly.The wounds closed in two months leaving bad scars. Why did it happen?

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areola periareolar A cup necrosis scar 350-399cc

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9 Doctor Answers | Asked by ely3 in italy

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Areolar necrosis

Many factors contribute to incisional wound healing problems. For a periareolar breast augmentation, these can include smoking, infection, excessive traction on the incision during pocket dissection and implant placement, undermining and devasculariztion of the the skin edges, and excessive tension on the closure. The issue at this point is less about the cause and more about the correction. Scar revision can be performed but it is advised to wait at least 6 months to a year to allow for the... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Areolar necrosis after breast augmentation

The cause of areolar necrosis is not easily explained and could be due to several factors that relate to your body and the response to an injury versus the techniques utilized. Excessive friction or traction on the wound edges could be responsible, use of electrocautery, tape sensitivity, or topical agent allergic reaction, suture extrusion, wound tension, etc are just some of the potential explanations. Scar revision may be an option to improve the quality of the scars.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Periareolar Scars

Sounds like you had blistering along the areolar side of the incision due to retraction during surgery. This is partial thickness but can create unsightly scarring. This can be improved with a simple scar revision under local.

Skin loss along incision edges after augmentation

The most likely cause of skin loss following breast enlargement is to much trauma. You state that you were an A cup prior to surgery and most likely had very small areola to begin with. During the dissection too much traction on the retractors could have caused this. Also, you did not say if you had silicone implants placed. If so, a 375 cc implant is large and you could have received a friction burn while you implant was inserted. The treatment is... more

Open wounds after breast augmentation

There is insufficient information to answer your question. If you started with an A cup you should not have needed any lift procedure at the same time as the augmentation. This is probably one of the more common causes of nipple areola necrosis after breast augmentation. The double assault on the nipple areola of lifting and augmenting cuts out needed blood supply. Other causes can be disruption due to the pressure of the implant or infection due to patient or operating procedure... more

Poor healing after breast surgery

Delayed healing around the nipple as a result of breast augmentation and periareolar lift can be of several causes. Poor circulation to the skin edge from smoking history, previous surgery, tension, or the procedure itself is one reason. In addition, any pressure or excessive tightness around the nipple can lead to this. Infections, sutures, bleeding or fluid accumulations can result in tissue tightness and necrosis.

Incision Breakdown Usually Due To Smoking or Too Tight A Closure

Without knowing your history and the surgical technique, it is hard to say why you developed some delayed wound healing at the periareolar incision site. If you are a smoker, then this would be the main culprit, since smoking really inhibits your ability to heal and makes the chances of some tissue necrosis alot higher. If you are not a smoker, then it could be that the closure of the incision was just too tight ( areola are too small or the implants were too big). ... more

Necrosis after Breast Augmentation

Areola Necrosis After Breast Augmentation I had a periareolar breast augmentation with 375 cc implants. My size was a cup A. After the surgery I have had terrible pain for 20 days and tissue necrosis developed along the cut,bilateraly.The wounds closed in two months leaving bad scars. Why did it happen? This is not very common if this was simply a breast augmentation, not a breast augmentation with lift. I would have to see that it is difficult to speculate what happened, but... more

Possible Reasons for Incision separation after Breast Augmentation

Regarding: "Areola Necrosis After Breast Augmentation I had a periareolar breast augmentation with 375 cc implants. My size was a cup A. After the surgery I have had terrible pain for 20 days and tissue necrosis developed along the cut,bilateraly.The wounds closed in two months leaving bad scars. Why did it happen?" For us to survive, our tissues need a good circulation which delivers an adequate supply of oxygen to our tissues and removes the by-products of metabolism... more