Explant Via Nipple/Areola Area. Problems with Scar Adhering and Puckering of Nipple? (photo)

Question

Hello i am 8mths post explant via the nipple/areola. I have pukering of both nipples, the scar appears to be adhered to the chest wall. Please can you tell me if a simple scar revision will resolve my problem. My PS says i have to wait until one year post explant and all I need is a simple procedure. (to cut/ release the scar tissue). By looking at my photos do you think this will be enough? Thankyou for taking the time to reply. I really need some advice please.

Samir Shureih, MD · Answer

Based on the pictures posted the scar around the nipple areola where the breast implant was explanted is tethred and is adherent to the tissue underneath.
It will require releasing the scar under the areola and repairing the breast tissue underneath in multiple layers to build up the tissue and prevent readherance of the scar. After 8 months this is the final result.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. I think that your plastic surgeon is giving you good advice. I have seen, in my practice, that these types of scars become less adherent and easier to work with as time goes on.

	 Best wishes.

Jourdan Gottlieb, MD · Answer

After eight months, I don't really see a reason for delaying further if you are ready. Releasing the scar, detaching it from the underlying tissues, and carefully closing underneath so that this does not recur is the best option.

	Regards, good luck.

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