Breast Augmentation: Q&A
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What Causes Overstretched Areolas and How to Prevent Them when Getting Breast Implants if One Has Small Areolas?
Hello, I am wondering what causes areolas to be over stretched after breast surgery and what are some precautions to take to prevent them from overstretching like in the first photo? Below are two photos I am sharing of two patients who started out as an A cup.
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20 Doctor Answers |
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Burondoajia
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How to prevent areola stretching
The added volume of a breast implant stretches the entire skin envelope including the areola. If you wish to prevent areola stretching, an incisions made around the areola and a purse string suture will prevent the areola from changing size and allows the patient to select their desired size. The photograph shown on the left have larger areolas and would benefit from a reduction. The photograph shown on the right have too small areolas.
Best of Luck,
Gary Horndeski,...
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How to keep aureolas from stretching with implants
The larger the implant, the larger the areolar will expand. Draw circle on a balloon and blow it up. The circle will enlarge directly proportional to the amount of air in the balloon. This is a perfect analogy. If you have small areolar and want to keep them relatively small, be conservative with the implant size. Thank you for this interesting question.
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Areolae strecthing with breast implants
The areolae will always stretch or widen to some degree after breast implants. As the skin stretches to accommodate the increased volume so does the areolae since it is part of the overall breast mound.
How much the areolae will stretch or widen depends on several factors including the patient’s native elasticity, the size or volume of the implant, the placement of implant, and if being done in conjunction with a breast lift or not. I have never seen a technique or...
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Wide areolae after breast augmentation
Permanent stitches can be used to help prevent widening of the areolae after an augmentation. However, despite this they still may stretch out.
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Areolar size and augmentation.
The final "stretch" of the areola depends upon the pre-augmentation size of the areola, the size of the implants placed, the elasticity of the tissues, and whether implant sizes were increased via one operative or over several reaugmentations. Areolar stretching is typically not a big concern as the increase in size is minimal. However, for women who have had larger breasts (typically following pregnancy) followed by some involution, stretching of the areolas can be...
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Overstretched Areolas with Breast Implants
There is a dynamic relationship between; the hard tissues of the chest, (sternum, ribcage), the soft tissue, (breasts), and the implant. A breast augmentation augments, (enlarges), the breast tissue. What you have on your breasts, (freckles, areola), may appear to be larger when done. This is usually in proportion to the amount of stretch that you put on the tissue. Sometimes the areaolas can get larger than one would expect. Implants that are too large for the...
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Enlarged areola can get stretched even further with large implants.
When the skin is stretched from large implants, sometimes the areola can stretch and enlarge too. One way to prevent this is to use a circumareolar permanent pinwheel suture that keeps the areola at a fixed diameter.
I hope this helps.
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AREOLAR SIZE
Basically the less breast tissue you have and the larger the implant size will create more stretching of the skin and areola. If you would like to minimize areola stretching go with a smaller breast implant that fits best with your dimensions.
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Areola stretching after breast augmentation. It always occurs (to some degree).
Breast augmentation involves increasing the volume within a specific breast skin envelope. Small breasts can have either large or small areolas, and everything in between. Depending on how much small breasts are enlarged (the size of the implants), the areolae will stretch to some degree. The amount of stretch also depends on implant placement (either above or below the muscle), the thickness of the muscle (if below), and the patient's own weight (thickness of subcutaneous fat...
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Areolar stretching after augment
I beg to differ. A large augmentation, whether above or below the muscle, involves an implant which by its nature will stretch out the skin. Both of these patients are over augmented. Of course, it all depends on how you start out and the length of time that the implants are in place. But I wouldn't rule it out.
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Overstretched areolas not caused by breast implants
Breast implants, especially when placed sub-muscular, do not stretch the areolar size unless you make a periareolar incision. I have never seen this in my practice.
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Over-stretching of Areola
If the appropriate implant is placed through the appropriate incision, you should not have stretching of the areola. Sometimes people what is called a Benelli Lift, which I do not recommend, which can stretch the areola as it heals. If you need a lift as well as an augmentation, then I would recommend that you have a traditional "lollipop" and/or "anchor" type incision - depending on your body and anatomy.
Good Luck.
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Over-stretching should not occur from augmenatation alone
After augmentation alone (without breast lift), adding volume under the breast skin and areola will cause minimal stretching, unless very large implants are placed. In the patient on the left above, one can see that there is an incision all the way around the areola. In other words, she had a lift done when she had her implants inserted. When possible, we do try to do this combination with the least amount of scar possible, using an incision that hides at the junction of...
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What causes over-stretched areolas in breast augmentation?
What causes over-stretched areolas in breast augmentation? Starting out with large stretched out areolas before surgery! I have not seen areolar stretching from breast augmentation. I have seen patients with large areolas pre-op, either from developmental deformities or from pregnancy and nursing, and filling the breast out with implants may fill out their loose, already stretched areolas. The first photo you display shows a woman who has had a periareolar lift, so she...
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Breast augmentation should not cause stretching of areolas.
Hi.
The patient on the left had a lift (scars all around areolas). So you cannot tell anything about her. The other did not have stretching even though she has big implants. So this is not really a concern.
see video
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Areola issues
When performing a breast augmentation the skin and areola do stretch a bit after surgery. If the areola are large to begin with, sometimes they can be reduced at the same time.
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Stretched Areolae
I have been doing this for 3 decades and have never seen a submuscular implant stretch the areola size. I suspect the photos you showed have the same areola size after surgery as they had before.
BTW, those are some of the worst looking breast augments I have seen.
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Stretched areola
There is no answer to your question. I have been doing implants over 30 years, sometimes the areolae stretch and sometimes they don't. The implant does not have to be very large, you can't do anything to prevent it if it is going to happen.
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Excessively Large Areolae After Augmentation
The most common cause for areolae which have become excessively large or overstretched after augmentation is the use of implants which are too large. In both of the photos you provided the implants are far too large, although I cannot explain why the patient on the right does not have excessively large areolae.
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Avoiding strecthing with breast augmentation
Two problems contribute to causing these unpleasant results. Firstly implants are too big and the pocketsare overdissected. I use a technique called 'cold-subfascial augmentation' that actually supports and shapes the breast implant. In this manner there is reduced pressure exerted on the breast tissues, skin and areola. Dual-plane techniques tend to create a force relationship that causes inerolateral stretching. I hope this helps!
All...
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