I had a Breast lift 18 months ago (doughnut incision). The shape and feel of my breasts are okay, but the surgery left me with deep wrinkles around both areolas. When I discussed this with the surgeon he said that he should have used the T-shape technique, but reverted to doughnut further to my persistence on minimal scarring. What are my options now? Please explain those techniques with Before and After photos, if possible.Updated May 13th: Photo added
Answer: Additional surgery/revision likely needed. Wrinkling can occasionally occur around the circumference of periareolar mastopexies.After 18 months, this probably won’t improve without additional surgery.This problem occurs when surgeons, and patients, attempt to limit the scarring that occurs with breast lift surgery by performing periareolar mastopexies.In some cases, there’s just too much excess skin for the operation to be successful.Under these circumstances, the discrepancy between the areola and the resected skin border is too great to bridge without a gathering suture.To avoid spread of the scars, a permanent suture is utilized.Correction of this problem requires conversion to a classic mastopexy with an anchor-type incision or lollipop incision.Revision will require release of the permanent sutures around the areola and removal of excess skin below the areola.This technique is usually associated with excellent clinical results and high levels of patient satisfaction.If you’re considering correction of this problem, consultation with a board certified plastic surgeon with experience in this area is appropriate.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
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CONTACT NOW Answer: Additional surgery/revision likely needed. Wrinkling can occasionally occur around the circumference of periareolar mastopexies.After 18 months, this probably won’t improve without additional surgery.This problem occurs when surgeons, and patients, attempt to limit the scarring that occurs with breast lift surgery by performing periareolar mastopexies.In some cases, there’s just too much excess skin for the operation to be successful.Under these circumstances, the discrepancy between the areola and the resected skin border is too great to bridge without a gathering suture.To avoid spread of the scars, a permanent suture is utilized.Correction of this problem requires conversion to a classic mastopexy with an anchor-type incision or lollipop incision.Revision will require release of the permanent sutures around the areola and removal of excess skin below the areola.This technique is usually associated with excellent clinical results and high levels of patient satisfaction.If you’re considering correction of this problem, consultation with a board certified plastic surgeon with experience in this area is appropriate.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
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CONTACT NOW January 17, 2013
Answer: Breast scars and areolar scars can be treated with laser
The areolar breast scars can be tightened with a laser skin resurfacing and laser treatment that can improve redness, complexion, and skin wrinkling. Check to see if this is available in Lebanon.
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Answer: Breast scars and areolar scars can be treated with laser
The areolar breast scars can be tightened with a laser skin resurfacing and laser treatment that can improve redness, complexion, and skin wrinkling. Check to see if this is available in Lebanon.
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September 18, 2019
Answer: Areolar wrinkling after donut lift This result is a classic example of a donut lift used to remove too much sagging tissue, creating puckering around the nipple-areolar complex. A scar revision might slightly improve the situation but the only way to fully correct it would be to perform a secondary mastopexy using another technique. If the purse string sutures are removed or relaxed to reduce the wrinkling, sagging will ensue.
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Answer: Areolar wrinkling after donut lift This result is a classic example of a donut lift used to remove too much sagging tissue, creating puckering around the nipple-areolar complex. A scar revision might slightly improve the situation but the only way to fully correct it would be to perform a secondary mastopexy using another technique. If the purse string sutures are removed or relaxed to reduce the wrinkling, sagging will ensue.
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November 3, 2011
Answer: Periareolar folds and wrinkles after Benelli lift
This is really one of the big draw backs of periareolar techniques. You can expect continued settling and improvement but also will likely have continued spreading. This is why your surgeon like most plastic and reconstructive surgeons prefer to use these techniques in cases of minimal ptosis. At some point if there is recurrent ptosis, converting to a vertical lift with a 'lollipop' scar can be helpful.
All the best,
Rian A. Maercks M.D.
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Answer: Periareolar folds and wrinkles after Benelli lift
This is really one of the big draw backs of periareolar techniques. You can expect continued settling and improvement but also will likely have continued spreading. This is why your surgeon like most plastic and reconstructive surgeons prefer to use these techniques in cases of minimal ptosis. At some point if there is recurrent ptosis, converting to a vertical lift with a 'lollipop' scar can be helpful.
All the best,
Rian A. Maercks M.D.
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November 17, 2010
Answer: Donut mastopexy is an overused operation and correction of wrinkling requires a more formal mastopexy.
The only way to fix your scars is to elevate and advance the skin of your breasts towards the areola. This will require at least a vertical scar and possible a small extension in the inframmary crease. Donut mastopexy is seldom indicated unless the breast is "tubular".
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Answer: Donut mastopexy is an overused operation and correction of wrinkling requires a more formal mastopexy.
The only way to fix your scars is to elevate and advance the skin of your breasts towards the areola. This will require at least a vertical scar and possible a small extension in the inframmary crease. Donut mastopexy is seldom indicated unless the breast is "tubular".
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