Nipple Surgery: Q&A
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Can the Areolas Be Resized Without Having a Lift? (photo)
Hi, I've just had my 2nd breast augmentation done.I am as unhappy with them now as my first surgery. My areolas are large and misshapen due to weightlose, kids, etc., My PS claimed he liked my nipple placement and that my previous implants were too small so he suggested larger implants would give me the volume i needed. in my opinion my breast look the same as before just larger. I think the areolas are what are making me unhappy. Is there a way to resize them without a lift? Please help!
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19 Doctor Answers |
Asked by
Lt1019
in Texas
+2
Strongly consider a breast lift
The areolas can be reduced without a full lift. But that will leave a scar around the areolas and won't make your breasts as attractive as a verticle lift. The trade off for much smaller areolas and a much better shape is the verticle scar which usually heals very well. My advice is to strongly consider a lift. Look at the before and after photos in the link below. The scar fades over time and the nipples can be resized more completely.
+2
Can the Areolas Be Resized Without Having a Lift?
Yes, if that is all you want it is quite easy to reduce the areola diameter. There is no reason to do any further vertical or other scars unless you want a true lift.
+2
Areolar reduction surgery
Your areolas are wide and they can be reduced, this would also give you a small breast lift. It is important to only excise areolar skin. This is commonly referred to as a doughnut mastopexy. The only problem can be some continued stretching of the areola over time due to the size of the implants but this is your only option if you are dissatisfied with the size.
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Resizing areolas
Your overall breast harmony, matching the size and areolas cannot be improved without some type of periareolar procedure...this will reduce the diameter of the areolas and also reorient their position higher on the breast itself...this "periareolar mastopexy" would leave a scar around your areola, but would provide a much better overall appearance...
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Areola Reduction Surgery
Your areolas can be reduced in size by a technique known as a circum-areola mastopexy. This will reduce the size of your areola and slightly lift your breasts at the same time. The key to this surgery, also known as a Benelli mastopexy, is a permanent suture at the outside of the areola at the areola breast-skin juncture. This surgery differs from a doughnut mastopexy in the placement of a permanent suture, but also in the fact that there is undermining of the skin of your...
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Honolulu Plastic Surgeon
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Areola Reduction Candidate?
Thank you for the question.
Areola reduction involves circumferentially removing areola skin around a smaller areola design. This procedure can be done under local or general anesthesia. It is often done as part of a brest augmenation/lift, breast lift or breast reduction procedure, but can be done as a standalone procedure.
You should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick,...
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Areola Reduction Procedures
Enlarged or asymmetric areola can be reduced or made more symmetric with or without breast lift or breast reduction procedures.
Philadelphia Plastic Surgeon
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Areola resizing without a breast lift
Yes, it possible to decrease the size of the areolas without the added verticle or horizontal (inframammary) scars of a breast lift. However, there is a limit as to how much smaller the aroelas can be made without resulting in puckered effect around the areola. Depending on your skin tone and expectations this may be a reasonable alternative to a breast lift with added scars. Check with a board certified plastic surgeon to help you determine which option may be best...
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+1
Areola issues
With larger implants the areola spread more. These are quite large for your breast. An areola reduction can be performed. You may also wnat to consider a lift as necessary based upon a full exam. Good luck.
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Areolar Reduction and Leveling
Since you are specifically asking about areolar reduction without a lift, that could be accomplished by a periareolar or donut reduction. That would need to be done with a more asymmetric excision on your right side to hopefully get the areolar levels a little more even.
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Can my breasts be improved? (photos)
YES, area (diameter and circumference) of areolae can be diminished without a lift, but you need a lift on the right to better symmetrize with left. No extra scar or morbidity from adding supra-areolar crescentic excision on right, with purse string closure. Skin envelope on both sides will be tightened, and "snoopy" deformity visible in right lateral view will be improved. No additional scars beyond areolar margin are necessary on either side, in my...
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Can Areolas be reduced?
Yes, absolutely. It does not require that a lift be performed, and can easily be performed in the office under a local anesthesia. There is a risk of the areola stretching again if lots of skin tension is placed on the closure, but with a simple skin removal of excess areola a conservative reduction can be achieved and maintained.
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Areolar correction does not require a lift
Areolae can be resized without a lift. However, your breasts are also asymmetrical and the nipple heights are off. Unfortunately, I do not think that just operating on the areolae will produce an acceptable result. If you have just undergone re-augmentation, I would also advise you to wait for the breasts to settle down before entertaining additional surgery.
+1
Resized areola
It is possible to resize the areola without a lift, though based on your photo you will look better with one. The reduction of the aerola and lift can be done with an around the nipple approach with a blocking suture (Benelli) to help prevent the nipple from expanding again due to the pressure of the implant behind.
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Reducing the areola size is possible without a lift, but why?
A very effective lift can be performed with the same incision as it is used for the areola reduction. Some Doctors are not fans of the "Benelli" incision approach, but it is one of my preferred approaches when done with implants.
Your particular case would benefit from a breast lift, and if you want to limit scars then the Benelli technique (or a variation of it) will give you an improvement.
+1
You need full breast lift
We do not have access to your before pictures ,but I would guess that your were not a good candidate for breast augmentation alone. Your nipple position,size and breast tissue position indicates that you need full lift. Nipple reduction will fail and you will not be happy again. The issues that you are going through is very common due to the lack of communication between patient and surgeons.
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Areola reduction
In short, the answer is 'no." In order to reduce the size/diameter/circumference of the areola, you need at least a vertical scar lift that includes a scar around the areola itself. A periareolar lift alone may temporarily reduce the size at the price of significant pleating and flattening of the breast shape, but over time you will either get spreading of the scar or gradual enlargement of the areola.
Robin T.W. Yuan, M.D.
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Breast augmentation revision
The first thing you need to do is really decide what it is that you do not like about your breasts. You may want to look at some pictures to think about the way you want to look, not to say that you will be able to look that way but to be able to communicate what you are looking for. Then you and your plastic surgeon can sit down and go over what the options are for the desired result. Sometimes you can't get there but at least you should know all the options. Yes, the areolas can be...
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+1
All implants can do is to make you a biger version of yourself
Your one picture shows that you need a full lift with areola reduction and elevation of the nipple areola complex and tightening of the lower breast. Implants of any size will never make your breasts look young again. If all you did was to reduce the areolas without the rest of a lift, you won't look much better.
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