Feeling self concious about areola size after 300cc impants and then having a child. I would like to exchnage impants for 425-475cc moderate profile, but my Dr. doe not recommend a lift because the scarring is not worth the trade off in his expert opinion (and he feels I dont need a lift). Anyone have experience with periareolar subcuticular purse string suture to reduce areola size less dramatically than with skin excision? Your opinion is very appreciated.
Answer: Scarring is a trade-off. Your picture suggest slight enlargement of your areolas in the absence of significant breast sag.Unfortunately, your arms are elevated in this picture which may cause the extent of your breast sag to be underestimated.For this reason, a physical examination would be helpful.In general terms, periareolar mastopexies usually require a skin resection.When a purse string is performed around the areola without an adjacent tissue resection, the areola tends to be puffy and protuberant. It doesn’t lie flat if there’s not an associated partial areola resection.Furthermore, scarring is variable with periareolar mastopexies.Scarring occurs when wounds are closed under tension. This is more likely when the procedure is used to provide lifting of the breasts and discrepancies exist between the length of the opposing wound margins.For these reasons, it’s important to realize that areolar reduction and periareolar mastopexy may involve significant tradeoffs.In some cases, the scarring associated with this procedure may be worse than the slightly enlarged areolas that concern you.Under these circumstances, it’s appropriate to proceed with caution.Make sure you consult a board certified plastic surgeon and get all your questions answered. Remember that once you have scarring in this location it can be hard to treat.
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Answer: Scarring is a trade-off. Your picture suggest slight enlargement of your areolas in the absence of significant breast sag.Unfortunately, your arms are elevated in this picture which may cause the extent of your breast sag to be underestimated.For this reason, a physical examination would be helpful.In general terms, periareolar mastopexies usually require a skin resection.When a purse string is performed around the areola without an adjacent tissue resection, the areola tends to be puffy and protuberant. It doesn’t lie flat if there’s not an associated partial areola resection.Furthermore, scarring is variable with periareolar mastopexies.Scarring occurs when wounds are closed under tension. This is more likely when the procedure is used to provide lifting of the breasts and discrepancies exist between the length of the opposing wound margins.For these reasons, it’s important to realize that areolar reduction and periareolar mastopexy may involve significant tradeoffs.In some cases, the scarring associated with this procedure may be worse than the slightly enlarged areolas that concern you.Under these circumstances, it’s appropriate to proceed with caution.Make sure you consult a board certified plastic surgeon and get all your questions answered. Remember that once you have scarring in this location it can be hard to treat.
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February 14, 2014
Answer: Areolar Reduction Breast Surgery Patients often ask me if their areolas will appear larger after breast augmentation.The areola will measure larger but the proportion of your areola to breast will not change. Based on your photos, I agree with your surgeon that you do not appear to need a breast lift. The areola can be made smaller by excising a portion of it or by placing a purse string suture. In my experience, doing both gives the most long lasting result. Remember, by increasing the size of your implant from 300cc to 425-475cc will also make your areola appear larger.
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February 14, 2014
Answer: Areolar Reduction Breast Surgery Patients often ask me if their areolas will appear larger after breast augmentation.The areola will measure larger but the proportion of your areola to breast will not change. Based on your photos, I agree with your surgeon that you do not appear to need a breast lift. The areola can be made smaller by excising a portion of it or by placing a purse string suture. In my experience, doing both gives the most long lasting result. Remember, by increasing the size of your implant from 300cc to 425-475cc will also make your areola appear larger.
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August 12, 2012
Answer: Areola Reduction with No Skin Excision--periareolar Subcuticular Purse String Suture?
Areolar sub-cuticular sutures can be use in selected cases but are not very effective
You could reduce the size of your areolae without a lift or even excising skin. but it will involve a scar around the areolae
These scars usually heal very well
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August 12, 2012
Answer: Areola Reduction with No Skin Excision--periareolar Subcuticular Purse String Suture?
Areolar sub-cuticular sutures can be use in selected cases but are not very effective
You could reduce the size of your areolae without a lift or even excising skin. but it will involve a scar around the areolae
These scars usually heal very well
Helpful
August 12, 2012
Answer: Areola size and implants
I think the key is to figure what you are willing to accept in term of scars. You have a great shape and the size is very nice so going up to 425-475 may overload your tissue and frame. An areola reduction with permanent suture as Dr Repta discussed so well is the procedure of choice. Good luck and please update us on your decision and results. Please see a board certified plastic surgeon.
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August 12, 2012
Answer: Areola size and implants
I think the key is to figure what you are willing to accept in term of scars. You have a great shape and the size is very nice so going up to 425-475 may overload your tissue and frame. An areola reduction with permanent suture as Dr Repta discussed so well is the procedure of choice. Good luck and please update us on your decision and results. Please see a board certified plastic surgeon.
Helpful
Answer: Areola Reduction with No Skin Excision--periareolar Subcuticular Purse String Suture? Hi gms123, Disharmony between the areola size compared to the breast itself is a common issue. Areola reductions are a common request with and without lifts. I do not personally feel the scarring is that significant. You essentially have a new outer line around your areola and for the first year it may be a bit more apparent. Skin is going to be excised no matter what, without the lift, it will just be a smaller amount of areolar skin. I would recommend meeting with at least one other board certified plastic surgeon to get another opinion on this. Going up in implant size also changes the game. They need to see you in person and do an exam with measurements to give an accurate recommendation. Good luck!
Helpful
Answer: Areola Reduction with No Skin Excision--periareolar Subcuticular Purse String Suture? Hi gms123, Disharmony between the areola size compared to the breast itself is a common issue. Areola reductions are a common request with and without lifts. I do not personally feel the scarring is that significant. You essentially have a new outer line around your areola and for the first year it may be a bit more apparent. Skin is going to be excised no matter what, without the lift, it will just be a smaller amount of areolar skin. I would recommend meeting with at least one other board certified plastic surgeon to get another opinion on this. Going up in implant size also changes the game. They need to see you in person and do an exam with measurements to give an accurate recommendation. Good luck!
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