How to Fix Areola Dent Scar After Breast Augmentation?

Question

I currently have a problem with the scar on my right areola from my surgeon going in a second time (A YEAR LATER) and adding an extra 50cc’s to my Mentor, Saline 350 right implant.  This increase made my right implant exceed the 400cc limit.  This was for asymmetry.
My problem is that the bottom of the right areola is now attached to the muscle causing a large dent in my right breast when I flex my arm.  What could I have done to prevent this from happening?  What can I do about it now?

Ben Lee, MD · Answer

You have adhesions to the underlying tissues, which can sometimes occur after peri-areolar breast surgery. A revision of the scar can be attempted and is usually successful, but there is the possibility that the condition may recur.

Martin Jugenburg, MD · Answer

If you have a scar that is contracted and tethered to the deeper layers, the treatment is to release the scar re-close the wound in layers in such a way that a healthy tissue is sandwiched between the cut scar ends.  While in theory simple, in real life getting it to heal properly can be tricky and the scars tend to recur and contract again.

Otto Joseph Placik, MD · Answer

This may require a relatively minor procedure with an incision and surgical release of the scar with a layered repair that separates the gland, fatty tissue and skin. In rare instances, release of the muscle is required but this is a more extensive procedure.

Aaron Stone, MD · Answer

The photo is a little out of focus so it is hard to say whether anything needs to done near the skin surface to improve the appearance. Your question implies that it looks OK when you are just standing but the dent appears when you flex your arm. That is usually due to scar tissue connecting layers, such as the skin layer to the muscle layer, that are not normally connected. The treatment then is to surgically break or cut the abnormal connection between layers.

Mark A. Schusterman, MD, FACS · Answer

Dear Murphybrown- the problem you have is common after the nipple incision especially after it is made twice.  It can be repaired but will require minor revisional surgery in the office.

How to Fix Areola Dent Scar After Breast Augmentation?

Answers (6)

Answer: Treatment of indents after breast augmentation

Answer: Treatment of indents after breast augmentation

Answer: Nipple Dent after Periareolar Incision

Answer: Nipple Dent after Periareolar Incision

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How to Fix Areola Dent Scar After Breast Augmentation?

Answers (6)

Answer: Treatment of indents after breast augmentation

Answer: Treatment of indents after breast augmentation

Answer: Nipple Dent after Periareolar Incision

Answer: Nipple Dent after Periareolar Incision

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.