How quickly will my aerola spread after failed permanent suture after benelli breast lift with implants

I looked at the photos you submitted with your previous question. It seems that you have a nice result, without breast drooping or loose skin. The nipples and areolas seem to be in a good position. If your areolas spread more than you'd like, this can be revised at any time. Assuming that you're satisfied with the current appearance, I would recommend waiting to see what happens. You may not need additional surgery, or perhaps not for awhile. There is no such thing as "too late" or "waiting too long," since the revision can be just as successful later as now. The areola diameter can be decreased if needed without raising the nipples further. If you have revision surgery, I would recommend decreasing the areola diameter to a size a little smaller than your desired perfect size, since there will always be at least a small amount of spread. I would also recommend using an interlocking pursestring technique as described by Dr. Dennis Hammond in Michigan, which seems to maintain and control the areola diameter better than a pure Benelli pursestring technique.

The key to maintaining the areola size in a Benelli "doughnut" mastopexy is a permanent suture. If that suture has in fact broken or come undone, then there is a high liklihood that the areola size will increase. This can be fixed however...and the best time to do this is once your incisions are fully healed...which usually takes about 6-12 months.

It really varies a lot from one woman to another regarding how fast or how much the areola will spread after a dailed Benelli.  Depending on the situation, you can either have the purse string suture replaced, or convert the lift to a traditional type of lift.

If you or your surgeon feel that the suture has broken,he can make a small incision to verify that.Placing another permanent suture is relatively simple.It's better not to wait

Thank you for your question and if you are aware of a problem rather then worry about it see your surgeon and have him correct it.  It is not a "timebomb" and can be fixed at any timeDr Corbin

If the permanent suture is intact there would be very little widening of the areola, and if it is broken, as you suspect, the areola will get wide quickly. Why wait? Get it redone.

44wendell,     Assuming your suture or sutures are broken the problem will never be hard to fix, and thus there is no urgency. Spread may or may not occur (it usually does to some extent), and if it does the repair involves placing a new purse string suture after excising a ring of skin and areola, incorporating the original circumareola scar, and then cinching the stitch to the proper diameter, followed by skin closure. Before you panic, why don't you see your surgeon and have them examine you to determine if the suture is intact.  Even with an intact purse string suture, the  areola tissues will sometimes stretch because the stitch can "cheese wire" through the tissues, maintaining its ring diameter, but allowing the areola diameter to stretch even despite an intact suture. This has to do with the remodeling capabilities of fibrous tissues, such as the dermis, where the purse string suture must be positioned.   In any event such revision, if needed, can easily be done under local anesthesia by most experienced Plastic Surgeons. I hope that this helps.     Best wishes, Tom DeWire, MD, FACS    Richmond, VA