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Peri-areolar breast lift with augmentation- Not Happy

asked 1 year ago by perkster in Chicago IL
Latest answer by Moneer Jaibaji, MD
Question viewed 1,378 times
Tags: areola, female, periareolar, revision

I had a peri-areolar breast lift with augmentation (silicone, 250cc, submuscular placement) 6 weeks ago. As you can see from the pic, the results do not look great. I had a hematoma under the right nipple which is resolving yet I am still bruised and feel lumpy. Assuming that will resolve, my bigger concern is that I did not get the lift I expected, my breast are not round and my left areola is oddly shaped (4cm x 5cm). Will a revision help? How soon can I get one?

12 answers to Peri-areolar breast lift with augmentation- Not Happy

Periareolar breast lift

Dear Perkster, Periareolar lifts in conjunction with breast augmentaion are reserved for small breasts that have minimal sagging. It is the most misapplied type of lift, usually due to patient demands pressuring the doctor for a limited scar. Assessing your situation, although it is still early and your implants will probably drop some, I don't believe there will be an improvement to your appearance that will make you happy, unfortunately. ... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

It is too early to determine the outcome

You are six weeks out from lift and augmentation. I think you need to give it more time to settle. It takes several months to reach the final shape. In my experience, the breast will continue to change and improve over a period of 4-6 months. Your doctor will able to address your concerns. I advise you to follow up with him and take his advice.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Final results post breast surgery

At this point in time of recovery, it is far too soon for you to see the final results of your breast surgery. It is normal for you to be concerned with the shape of the breasts, as well as the incisions. Allow more time for your breast implants to settle. It is crucial that you follow the instructions of your plastic surgeon to ensure the best results possible. It would be in your best interest to massage the breasts to prevent encapsulation and promote softening of the implants. As the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Unhappy with circumareolar lift.

Surgeons will make recommendations based on their experience and training using their measurements to guide them. Hoever, they may make options available to patients and allow the patients to decide. The key issue here is did the surgeon discuss teh options with you and were you open or did the surgeon say this was the only way to achieve a lift.. The goal of achieving a "perky" breast as implled by your name may not necessarily be a realistic goal.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Unhappy with periareolar breast lift + augmentation 6 weeks after surgery

Since it is only 6 weeks, there may be some further inferior settling of the prosthesis. It does appear from your photos that your degree of ptosis “ droop” was too great to be addressed with a periareolar mastopexy alone. Since the prostheses are evenly placed, this can certainly be corrected with a secondary vertical mastopexy without touching the prostheses. It would elevate the nipple areola to the appropriate height, allow for correction of the asymmetric areola and tighten... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Unhappy breast lift

We'd have to go to your preop photos and know what you and your doctor discussed and whether you were willing to allow a full lift or not to make the best evaluation. But your result, quite honestly, doesn't look good right now and time isn't really going to make it great. You should wait until the swelling is gone and the implants have settled (4-6) months and then have a revision with a full lift this time.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift

I would wait at least 3 months before considering any revision. The areola can be revised if you desire.

Jack Peterson, MD
Topeka Plastic Surgeon

Unhappy after breast lift and augmentation

It looks like you may have benefitted from a "lollipop" breast lift which would have given you more of a lift with a vertical scar. Your implants look like they still need to settle out a bit into a lower position. I would give it 6 more weeks to see if there's any improvement. If not, you could then proceed with a revision adding the vertical component. That would lift the breasts up more and correct the areola asymmetry. Be aware that breast augmention with simulataneous lift has a... more

Gary D. Breslow, MD
Paramus Plastic Surgeon

Breast lift and augmentation

A breast lift and augmentation tries to accomplish two things. It lifts the breasts and fills them out. This sometimes requires a secondary procedure to adjust them. You may desire more of a lift.

Steven Wallach, MD
Manhattan Plastic Surgeon

What does your surgeon say about this?

I agree that mastopexy/augmentation is a demanding procedure. Results are often not as good as augmentation alone. I have not seen your pre operative pictures. There are many factors that enter into the decision on which procedure to perform and it is always a trade off between the amount amount of "lift" and the length and placement of the scaring. Personally I have gotten excelent rsults with periareolar mastopexy/augmentation but the patients must be carefully selected... more

Thomas R. Walek, MD
Providence Plastic Surgeon

Mastopexy Augmentation is a complex procedure

From your post-op photo - my guess is that you needed a vertical breast lift to begin with. A peri-areolar breast lift does very little lifting. It really useful for areolar diameter reduction, but is not a great lifting technique. Many women are reluctant to submit to the additional breast scar with the vertical lift techniques, but breast shaping and nipple positioning is so much better. I'm sorry that you are unhappy with your result. The best thing to do is consider a revisionary... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Early in recovery from breast lift

Perkster, You are early in your recovery and need to keep close follow-up with your plastic surgeon and closely follow all of the instructions he/she give you. It appears that you had a peri-areolar breast lift which you and your surgeon decided upon. Many women do not want the vertical and sometimes horizontal scars that come with a more powerful vertical type lift. As I said, you are early in recovery and need to allow time to see how you will heal and what your final shape... more