How to Fix Areola Dent Scar After Breast Augmentation?

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.

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.

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.

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.

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. 

Thank you for your question and photograph. There is no foolproof method to prevent the dent you see in your areola especially after a revision breast augmentation. The muscle has simply adhered to the scar beneath the incision.Fortunately this can be revised with a fairly simple procedure. Please see your plastic surgeon.