Breast Augmentation 2 years postop - Are my areolas supposed to look like this? (photos)

Question

I had a breast augmentation and circumareola lift almost 2 years ago and have not been happy with the way my areolas look; they are misshaped and too big.

Miguel Mota, MD · Answer

Hi. I’m sorry to hear you are unhappy with your results. You can certainly get your areolas fixed. An areola reduction will make them smaller and rounder. I believe you need a lift as well though. 
If you do not want extra scars a Circumareolar Lift will correct your areolas, but it will not lift your breast as much. You best option, if you are ok with extra scars, is a traditional breast lift. This will obviously address the size and positioning of your areola while also lifting your breasts.

Best of luck,
Dr. Miguel Mota

Alan Gonzalez, MD, FACS · Answer

Hello @hpovio thank you for your question and showing your pictures. I do not see a lift at all there is skin laxity in the breast. in a breast lift with or without implants, the areola and nipple are lifted, the breast shape is improved either by reorganizing the breast or placing volume with prostheses. I suggest you consult with several specialists. An examination by a board certified plastic surgeon will provide you with more information and recommendations. Best regards. Alan Gonzalez MD . Best wishes! Best luck! Alan Gonzalez MD FACS

Chul Hwan Seul, MD, PhD · Answer

It seems that after performing circumareolar lift (periareolar mastopexy) purse string suture has loosen up, resulting in burst areolas and change in shape. Performing revision periareolar mastopexy, using special, stronger thread will improve the shape and can reduce the areolas. However, for the best lifting result I would consider performing vertical mastopexy.

Martin Jugenburg, MD · Answer

Hello, thanks for your question and photo submission. Over time gravity can stretch out the skin. usually occurs with breasts and areolas. You would have to go for another surgery to minimize the areola however it can continue to droop and stretch out over time due to gravity and skin quality.

Jonathan Heistein, MD · Answer

Unfortunately, if you redo the periareolar scars, the problem may recur and the center of your breast will be flat.  If you want to fix this, you will need to have a breast lift.  This can be done with either a lollipop or anchor scar.  Not only will it make your areola smaller and more round, but it will prevent the lower part of your breast from sagging more.  Best of luck!

Zoran Potparic, MD · Answer

Unfortunately, this is very frequent complication of large implants, heavy breasts and peri-areolar incision (donut). Consideration should be given to a new lift, vertical (lollipop) incision, scar, smaller implants and possibly small reduction (if too much breast tissue is present). All of this  will provide longer lasting result. Good luck.

Gerald Minniti, MD, FACS · Answer

Well the answer is yes, because you were not a candidate for a circumareolar lift. You can get smaller, rounder areola, but you'll need to convert to a formal lift, with the vertical scar. Don't worry, this is not the end of the world as so many women perceive that scar to mean. Vertical scars heal well and are the most likely scar to fad away to near invisibility.

Dana Goldberg, MD · Answer

Hello. It looks like you probably could have used a full breast lift. When an implant and periareolar lift are done together, it’s common to get stretching of the areola. Your implant is sitting lower than ideal because there is too much skin on the bottom of the breast. I’m not sure whether that was there from before surgery or if the implant caused it to stretch, but either way, a breast lift with a vertical scar would address the issue.

If you really want to avoid the vertical scar, you could attempt to reduce the areolas again, but you may not get a better result.

If you really want to avoid the vertical scar, you could attempt to reduce the areolas again, but you may not get a better result.

Daniel Barrett, MD · Answer

Dear hpovio,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Scott W. Vann, MD, FACS · Answer

Very often with periaerola lifts the aerola will stretch over time. Often the scar itself also stretches though yours did not widen too much. Your entire breast has also stretched down. I would recommend converting your lift to a lollipop or small anchor to reshape your breast and get your areola to proper size. You should really consider down sizing your implant  also since your tissues do not seem to be able to handle that much weight. Good luck.

Breast Augmentation 2 years postop - Are my areolas supposed to look like this? (photos)

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