Periareolar mastopexy and implants. Areola scars 13 days post op. Will the scars smooth out in a perfect areola shape? (Photo)

The pleating in your photo is completely normal a couple of weeks after periareolar mastopexy. This will slowly soften, and nearly always disappear, over a number of months. Although the surgeon strives to produce a 'perfect' areolar shape, the areolas may end up slightly off-round and asymmetrical after this procedure. I find that if I address these issues with my patients BEFORE surgery, and draw some simple sketches, there are virtually never any questions about the appearance of the areolas afterwards. Keep in touch with your surgeon and make sure your questions are dealt with. All the best.

After this type of mastopexy the scars always have this appearance early after surgery.  They will smooth out.  If you were very concerned bout areolar scarring you should have addressed this before circumareolar lift.

Thank you for your question about breast lift with implants.Yes, the pleated periareaolar incisions usually smooth out over 3-6 months in most cases.To be sure, return to see your surgeon or see two or more experienced, board-certified Plastic Surgeons for a complete evaluation.I hope this helps.

Your doctor did a nice job on this procedure.  The tight suturing is to keep the areolae from stretching, and although it might appear to look funky at first, this will help ensure a good scar and and nice areolar shape down the line. The periareolar method for advanced lifting does require patience on the recipient's part.. These results are an evolving process. Every week you will notice improvement, and more frequent doctor-patient interaction is often necessary.  All you see is the periareolar scar and thus you will focus on every aspect of healing in this small area.  For surgeons who stage their lifts and augmentation it can be easier with scar issues, but I believe most patients can have a satisfactory outcome when the procedures are combined. For difficult breast shapes, extreme cases of sagging, and when the patient also wishes moderate enlargement, the results may not be ideal, and thus a secondary snuging, lifting, and implant exchange may be in the picture at 1-3 years.  When you do everything at one sitting there may be little tradeoffs for a perfect result. The revision or enhancement of this result can be within the circle of the scar so that no vertical or anchor lift needs to be done. While those methods can handle all problem lifts and reductions, many patients still find all that scarring offensive.  Even when done brilliantly, about 18% of patients will experience less than ideal total scarring.  If the shape is the issue with a periareolar approach, and if the patient is willing and financially able, any revision can make things look even better.  The two-stage approach is another way to get there but I agree with combining both surgeries.

Thank you for your question and photos and it is way to early to judge your areola scarring so stop worrying.  Address your concerns to your surgeon thoughDr Corbin