Where Should Breast Augmentation Revision Incision Be?

asked 2 years ago by aricarai in Seattle, WA
Latest answer by Thomas Fiala, MD
Question viewed 456 times
Tags: breasts, female, incision, periareolar, revision

I had a breast augmentation five years ago and now want a revision to achieve smaller breasts and to get rid of the "rock in sock" appearance. My current incision is under the breast crease, but I also want my areolas reduced. So would a plastic surgeon go through my old incision site or around the areola for the revision?

5 answers to Where Should Breast Augmentation Revision Incision Be?

Breast augmentation revision, areolar reduction and possible lift

If one of your goals involves reduction of the size of the areola then you will need an incision around the areola. Depending on the extent of extra skin you may also need some type of lift. In general, it may be possible to remove your current implants thru an incision in the lower portion of the areola and replace with smaller ones. If the nipple areola position doesn't need to be lifted much and there is a minimum of extra skin then the areolar reduction and a mini lift... more

John E. Gross, MD
Los Angeles Plastic Surgeon

Breast incision locations

Based on your description and your desire to have smaller breasts, in addition to reducing the areola, you will likely need some form of breast lift to achieve your goals. A consultation with a board certified plastic surgeon will help to answer your questions more accurately. A breast lift involves several different types of incisions but all involve an incision around the areaola. The additional incisions may be vertically oriented below the areola and horizontally within the crease... more

Sean A. Simon, MD
Miami Plastic Surgeon

Breast implant revision incision

Since you have stretched-out skin with a "rock in a sock" appearance, large areolar size and a pre-existing infra-mammary incision, there are a number of options that couldbe used to replace your implants. For the areolar reduction, you will need (at minimum) a circular incision around the areolar area...and the breast implant replacement could be done this way. If you have enough loose skin to require a vertical or inverted T incision, then the implant could also be cha more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

www.plasticsurgeryinflorida.com

Breast revision incisions for remove replace revise "rock in sock" deformity

In order to reduce the size of the areola a circumareolar incision is required at the very minimum. However, if true sagging is present this may need to be extended into a vertical or so called "lollipop or tennis racket" type incision which would probably connect wtih the existing crease incision

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implant revision

If you already have breast implants placed through an inframammary incision (breast crease) but desire the implants and the areolas to be downsized, I would recommend an incision at the lower border of your areola (periareolar). This will allow access to decrease the size of your areolas with a circular incision and also allow better exposure of your breast pocket, in the event you have some hard scar tissue (capsules) that needs removal. Please be examined by a board certified plastic... more

William Bruno, MD
Beverly Hills Plastic Surgeon

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