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Unfortunately, it appears that you have pretty significant scarring around the areola. They may fade a little over time but will always be there. You may need a surgical revision to remove the old scars and close up around the areola in a stronger fashion than your previous surgery. I would go for a few consultations with board certified plastic surgeons and see what will work best for you. I hope this helps.
Hello,Scars do not go away. Some will improve in appearance, but yours will remain extremely wide, with irregular texture and pigmentation. Your breasts are ptotic, and you needed a formal breast lift (and probably reduction) 9 months ago. To fix your problem now, you will need this formal lift and reduction. If your surgeon isn't an ABPS certified/ASAPS member surgeons who specializes in revision breast surgery, you should consult with a few who are. Best of luck!
It appears to me that you have a few things that need to be addressedHypopigmentation due to scarring and inflammation. This means that you have lost some pigmentation that is extending around the areola and towards the nipple. Scarring and post operative inflammation can do thisAreolar diameter greater than 4 cm with the edges of the scar diameter probably greater than 8cm. The scar diameter is probably twice the diameter of the areola. This means if you want to have a scar revision you may need more than a peri-areolar incision. You may need an incision around the nipple and down to the bra line (lollipop). I have had a few patients who like to have larger areola. If this is your case then consider tattooing the area of the areola you want to keep. I recall a patient of mine who was a professional tattoo artist and specifically tattooed nipples. This quite common in breast reconstruction.So, I think if you weigh your options and constitute to get many opinions, you will make a good choice. I hope this helps.Dr. DillonTake a look at the link provided
You may want to go back to your surgeon and discuss a scar revision with decreasing the size of the areola. Doing the periareolar lift with an augmentation does run the risk of larger areolae since that tissue is more prone to stretching than the rest of your skin, and your whole breasts were stretched with implants. It can be hard to shrink and stretch at the same time.
One of the problems with around the nipple breast lift is relapse with a stretch of the nipple, and an irregular scar as the skin around the nipple is drawn together. Your scar will improve over time, though a revision might help in future.
An areola reduction performed with a breast augmentation is a difficult operation. A surgeon is performing two opposing maneuvers, both increasing breast size, and tightening the skin around the nipple-areola complex. Occasionally these opposing forces result in bad scars around the areola. I generally advise patients that a secondary revision might improve the scars, but often converting to a full Mastopexy, with more extensive but controllable scars (you spread the tightening forces over a longer distance) is a better option. We all like to minimize scarring, but often longer but better scars are preferable to shorter and thicker or irregular shaped scars (due to uncontrollable forces). Please bring your concerns to your Plastic Surgeon, and they will discuss your options with you.
From your photographs, I do understand your concern. Scars can take up to a year to settle down. With the amount of areola that I would want to remove you would be better off, in my opinion, to convert this to a vertical mastopexy which will better prevent the circular scar from restretching. Best of luck.
Dear Mili, Sorry about your over sensitive nipple. In my practice, when ever there is skin over sensitivity, regardless of the type of surgery, I recommend treatment based on Johns Hopkins department of plastic surgery study. In my experience I found it to be very efficient. According to th...
Hello,Silicone gel implants don't shrink. Your tissue can though. Your surgeon is right, no need to worry about your implants shrinking, even if they were ruptured, there is no net loss of volume. Best of luck!
The simple answer is: you need to change them, when you need to change them! There is no specific time that you need to change your breast implants. If everything is going well, you are happy with the result of your augmentation and do not identify any issues, you can keep your breast implants ...
It is still too early to have a good sense of whether or not your old breast fold will be visible after your augmentation. I would give it at least three – six months. That said, a very good solution to camouflaging an old breast crease in the situation is fat grafting to smooth out the c...
100 cc of silicone weighs .23 lbs. Thus a 375 cc implant will be less than 1 lbs (.86 lbs). There will be some variation from one manufacturer to the next (shell and gel variations), however, this is a reasonable estimate.With regards to your particular question, it will add an additional 1.65...
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