Breast Augmentation: Q&A
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How Can I Get Rid of Enlarged, Scarred Areola After Breast Augmentation?
Its been now 2 years since my surgery and the scar is more noticable than before. I went to the surgeon that did the procedure and he told me their was nothing more he could do. I am very upset as I was so excited to get my implants. Now I am faced with this. The aereola shows through my bra, and when wearing a bikini top I feel as if everyone can see my imperfection. Please help with any solutions you may have.
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30 Doctor Answers |
Asked by
Miami8724
in Miami, FL
+3
The areola can be reduced and/or the scar tattooed
Dear lady, you mention two problems : the visible scar around the areola (were they lifted together with the augmentation?), and the fact that your areola shows in a cutout bra.
Correcting the scar is perfectly feasible by a skilled medical tattooist or someone with experience with micropigmentation. Ask for references. This will however not reduce the size of your areola.
To make the areolas smaller, a "round block" technique needs to be used, where a donut-shaped...
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Belgium Plastic Surgeon
+3
AREAOLAR SCAR REVISION
Thanks for the photos. They are very helpful. It appears that you have healed with depigmented circumareolar scars or more simply scars that have lost their natural color. A surgical revision of the scars may help but there may be only minimal improvement. The only other option to return the color to the white depigmented scar would be to consider tattooing. I do not feel any type of scar therapy will be helpful.
+2
Treating depigmented white scars
The photos show a white depigmented flat scar surrounding the areolae and a smaller left than right areola. Aside from the right left asymmetry and the color of the scar the result looks good. I don't know how anyone could see that difference through a bikini. The different sized areolae could be visible through a thin bra but that would not usually be for public view.
You apparently had a doughnut of tissue around the areolae removed at the time of the augmentation, doughnut...
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Los Angeles Plastic Surgeon
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Scar Correction Around the Areola
While you periareolar scars are acceptable, they could be improved. If they are raised, a CO2 laser could help to flatten them. Steroid injections help, but you may develop a widened scar. Silicone taping usually works earlier in the recovery period. Tattooing is a good way to camouflage the scars it they are...
+1
The Area of Depigmentation Can Be Tattooed With Lasers
From reviewing your pictures, it appears that you have had a donut mastopexy in combination with a breast augmentation. This procedure is performed when mild breast sag is present and is done in an effort to avoid vertical and transverse skin incisions. Unfortunately, closure of these wounds under tension, can occasionally result in spreading peri areolar scars.
Although your post operative pictures don’t clearly show the quality of your scars, it’s obvious that there is some spread...
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+1
Scars
It looks like you had a circumareolar lift (also called the Benelli or Donut lift). You have a few suture marks on the left side, and a slightly wider areolar diameter, in addition to a scar that goes all the way around the areolar area.
Although the photos are not the best, the scar doesn't seem depressed, tethered, heaped up, or especially widened. Overall, the scar quality is reasonably good - it doesn't appear to be a keloid or hypertrophic scar.
While you could...
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+1
Areolar size can be reduced
Breast augmentation typically enlarges areolar diameter. An option to consider is a peri-areolar donut mastopexy to reduce your areolar diameter. The technique employs a GoreTex suture which 'locks in' the diameter of the areola. I've done this a few times to revise patients like yourself. It works fairly well.
+1
Breast implants
Most likely, the result of any scar revision will be the same. Tattoo is a good option in this case.
+1
Areolar reduction after breast augmentation
In most cases the areola will enlarge after breast augmentation. You only need to review a series of before and afters to see the change. When augmentation is combined with an around the nipple breast lift as you appear to have had, the challenges on areolar size and scar spread are remarkable. Our suggestion is revision of the scar with areolar reduction if the size is again an issue. Your skin is now relaxed 2 years after the augmentation and chances are you may do better. I don't...
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+1
Scars are inevitable after breast augmentation
5% of women develop widened scars following breast augmentation. Assuming your plastic surgeon closed the skin in 2 layers, using long-term dissolving stitches in the deep layer and fine or hidden stitches or glue in the skin, you may just be one of the unlucky ones who are genetically predisposed to poor scars. On the other hand, if you did not have your skin closed as I described, you could consider a scar revision by a board certified plastic surgeon. If your scars...
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Franklin Park Plastic Surgeon
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