Areola left in vertical incision. What can be done to improve the shape? (Photo)

Question

I had a revision breast augmentation 2 months ago for a breast lift that I had before. This time, the surgeon only used the vertical incision to replace the implants and shape the breasts. However, a piece of areola is stuck in the vertical incision, altering the roundedness of the areola. I am wondering what can be done to remove the piece of areola and if laser could work to get rid of the pigment. Also, what can be done to improve the shape of the areola? My implants are 800cc.

Gianfranco Frojo, MD · Answer

I would recommend a direct excision of the pigmented skin after the implants have fully settled (at least 1 year from the surgery). Another option would be to downsize the implant and perform another lift. I would find a surgeon certified by the American Board of Plastic Surgery; ideally, one with an aesthetic fellowship accredited by The Aesthetic Society. I would also review before/after photos, Google reviews, and talk to the surgeon directly if possible.

Daniel Barrett, MD · Answer

Dear Plucky224390,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Joshua T Halka, MD · Answer

It is unlikely that laser will completely change the pigment to be like the rest of your skin, you would likely need a revision of the vertical incision and areola once everything has fully healed to help improve the shape of the areola and that pigment issue.
Hope this helps!

Ronald J. Edelson, MD · Answer

What you have is not uncommon and very easy to fix with a minor revision. It could be done in half an hour under local anesthesia.,I don’t charge for such a revision

Connie Hiers, MD, FACS · Answer

The laser will not remove the areolar skin left, but some, perhaps all, could be excised and the areolar made more round if you have some looseness. With the 800 cc implant, this is very large and you may not have much room left.

Areola left in vertical incision. What can be done to improve the shape? (Photo)

Answers (7)

Answer: Breast lift

Answer: Breast lift

Answer: Areolar skin

Answer: Areolar skin

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Everything you need to know about Breast Implant Revision

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Areola left in vertical incision. What can be done to improve the shape? (Photo)

Answers (7)

Answer: Breast lift

Answer: Breast lift

Answer: Areolar skin

Answer: Areolar skin

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

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