What is the soonest time to get another areola reduction? (Photo)

Question

I got a breast augmentation with a periareola mastoxpexy lift on June 06, 2024. The doctor I went with never went over sizing on anything and my main concern was my areolas. He never showed me what size he would be making them and left them almost the same how I originally had them. I wanted smaller as they are still rather on the bigger side still and one is more spread out than the other. What is the soonest to get another areola reduction if possible?

Raffy Karamanoukian, MD, FACS · Answer

This pattern of breast areolar reduction is dynamic and the areola, if left alone, may further expand and become uneven. I would consider a T-pattern breast lift and areolar reduction. As for the scars, I would begin treatment with Vbeam laser and Sequel Scar Defense creams as soon as possible to reduce scar inflammation.

Best,
Dr. Karamanoukan
Realself100 Surgeon

Best, 
Dr. Karamanoukan
Realself100 Surgeon

Chet Mays, MD · Answer

Greetings!
The typical wait time for areolar reduction/revision is 4-6 months post surgery. Please feel free to contact our office for a virtual/in-person consultation to discuss your breast goals.
Mays Plastic Surgery

Gerald Minniti, MD, FACS · Answer

You were never an ideal candidate for this procedure and would have been better served with a true mastopexy. Your photos show many of the problems associated with the procedure in the wrong person: circumareolar pleating, persistently low nipple areolar complex (NAC) position, suboptimal scarring, and wide areola. Your breast skin is tight and will effectively fight back at any attempt at re-reduction in areolar size, making some the problems you have worse. Many like you don't heed my advice and go on to do it again anyway. When you realize that things aren't right or worse, and that a true lift scar pattern would be far more aesthetically pleasing to what you thought would be limited scarring from the circumareolar mastopexy, your surgeon will have a tough time doing what's necessary: raising the NAC, and making the breast mound shape pleasing because too much skin was removed in the horizontal vector. My advice: do nothing or do it right with a true mastopexy.

Daniel Barrett, MD · Answer

Dear Giving291655,
generally speaking, you should wait until your incisions are fully healed prior to another surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your areolae are large because of stretching with implants. You should wait at least 6 months from surgery and permanent sutures may be needed. It is difficult to get small areolae with large implants.  The implants stretch the areolae.

Camille Cash, MD · Answer

You will want to wait at least six months before considering further revision to allow time for the scars to settle and heal.  Be aware that the areola can stretch again with subsequent surgeries.  You can use silicone scar sheeting and creams to promote good scar healing.  Other options are lasers and steroid injections if needed.

Daniel P. Markmann, MD · Answer

Sorry to hear that you are disappointed.   Usually recommend about 6 months for revisions.   However, in my opinion, your breasts look beautiful and your areola are not overly big.   I would recommend leaving them alone.   Going smaller may lead to widened scars or stretched areola with loss of nipple projection.

Darryl J. Blinski, MD · Answer

Based on your post of photos and only being one month from the original surgery, I would recommend waiting at least 3 to 4 months and then have an additional aerial reduction. Expect to range from 4000 to 8Based on your post of photos and only being one month from the original surgery, I would recommend waiting at least 3 to 4 months and then have a additional aerial reduction. Expect to range from $4000-$8000. Best virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.
You can get copies of your before and after pictures by requesting them.
They are part of your medical record.
 using the technique and is inherently limited.
If a significant lift or significant or areola reduction is needed then it may be better to convert the procedure to a more aggressive or proper procedure which may involve longer scars.
Personally, I’m not a big fan of the donut, mastopexy a.k.a. Benelli mastopexy, 
The procedure is inherently limited and should only be used when a very slight lift or slight reduction is needed.
Using this procedure inappropriately can set patients up for more difficult revisions in the future.
If you’re no longer have faith in your current provider, then schedule a few in person second opinion consultations with other plastic surgeons in your community.
Second opinion, consultations should always be done as in person consultations and patients should come prepared.
This means bringing a complete set of proper before and after pictures and copies of your previews operative report.
These are all part of your medical record and you can request them from your current provider.
I highly recommend people avoid virtual consultations whenever possible, and always schedule several in person consultations with plastic surgeons before considering selecting a provider or even thinking about scheduling surgery.
The biggest mistake I see patients make other than scheduling virtual consultations is scheduling only one consultation before having surgery.
By Scheduling only one consultation patients more or less eliminate the ability to choose a better provider.
The second biggest mistake is assuming that someone is board-certified in plastic surgery with a few years of experience and a handful of positive reviews as master of most plastic surgical procedures.
You need some vent providers for the procedure you were interested in to make sure they have the skill and experience to deliver consistent quality outcomes.
Surgeons may be responsible for surgical outcomes. Patients are responsible for provider selection.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely are to find the better provider for your needs.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patient who had similar body characteristics to your own.
and experience plastic surgeon should have no difficulty showing you an impressive collection before and after pictures.
Highly experienced providers should have 100 or preferably thousands of before and after pictures to choose from.
When in doubt slow down and schedule more consultations. The last thing you want to do is r and experience plastic surgeon should have no difficulty showing you an impressive collection before and after pictures.
Haily providers should have 100 or preferably thousands of before and after pictures to choose from.
When in doubt, slow down and schedule more consultations.
The last thing you wanna do is to rush into revision surgery.
Step is to find the right provider and this takes time.
Considering revision surgery is much more complex and difficult than primary procedures. You need to now be more careful regarding provider selection and for your first operation.
Best,
Mats Hagström MD

What is the soonest time to get another areola reduction? (Photo)

Answers (9)

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