Palpable suture ring around areola following reduction making areola look puffy. Will removing the suture fix this? (photo)

Question

I had an areolar reduction to reduce the puffy look of my areola 8 years ago. The actual reduction did not actually remove much tissue, just flattened the areola. I had implants placed at the time of the reduction/mastopexy but have since had them removed so there is little pressure on the scar. The left side is great but the right has a palpable ring of suture that causes contour irregularities and residual puffiness. Can removing the suture improve this? I understand it could spread out.

Richard Baxter, MD · Answer

What you are describing is exactly the problem with permanent sutures for areola reduction or Benelli lift. While they may prevent re-expansion of the areolas, they also prevent natural expansion and contraction with temperature and stimulation, leading to puffing out. A solution to prevent expansion but allowing for natural expansion/contraction is a Strattice donut. I have also used Galaflex for this.

Vincent N. Zubowicz, MD · Answer

Is not stated specifically how your operation was performed. If permanent suture was used it can become encapsulated and leave the identical appearance that is shown in the provided photographs. Your plastic surgeon should be able to remove this.

Palpable suture ring around areola following reduction making areola look puffy. Will removing the suture fix this? (photo)

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