Areolar Stretching After Breast Lift

Question

I did the breastlift over a year ago, & I wasn't happy with the purse looking scars around the areola. Unfortunately the 2nd revision for the scar made me end up with deformed breasts. My areolas were always wider than normal, but the stretching made them look horrible. I cannot wear low cut because the scars will show.My areolas & scars are too high already. Is there any way to fix this to look normal again?

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	I think the only reliable way to correct the issues at hand is to undergo a full mastopexy procedure.  This procedure will take some stress off the areola,  allow for decreasing the size of the areola with less risk of recurrence, help with some of the general breast ptosis and generally improve your results.

	This may or may not necessitate downsizing of implants;  in may be possible to improve the superior pole fullness with the revisionary surgery.

	This type of revisionary surgery does require some experience;  be careful with your plastic surgeon selection.

	Best wishes.

Otto Joseph Placik, MD · Answer

This is a difficult problem and entails an element of risk in attempting to revise the surgery. A permanent suture may help to improve the result but it can cause other problems. Discuss the risks and benefits with your surgeon.

Jeffrey J. Roth, MD, FACS · Answer

Some widening will be normal after surgery.  From the photos it looks like you have a "donut" Mastopexy.  Depending on multiple factors, (skin quality, incision tension,,etc) this procedure, while usually very effective, can sometimes have some drawbacks.  As you have been down this road a couple of times I would see a couple of board certified plastic surgeons as to you options.  It is hard to say anything without examining you.  It looks like you are going to need a more extensive lift to control the nipple placement and shape of the breasts.  This means more scars, but the trade off is usually better.

Steven Wallach, MD · Answer

It certainly looks like form your photo that you may have two problems: 1) spread areola, 2) breast ptosis. But you have to be careful because it looks like based upon your tan lines that the areola may be peaking out of your suit.

Robert Sleightholm, MD · Answer

If the nipples are indeed high lowering them will produce more scarring above the areolae. If the nipples appear high due to bottoming out (gland has dropped), a vertical reduction may improve the location and reduce the areolar size by reducing skin tension.

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Areolar Stretching After Breast Lift

Answers (7)

Answer: Areolas problems

Answer: Areolas problems

Answer: Areolar Lift VS Vertical Lift

Answer: Areolar Lift VS Vertical Lift

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Recommended reading

Everything you need to know about Breast Lift

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