Will scar revision on the areola to repair the bottom center opening damage my breast lift connection? (Photo)

Question

I had a breast lift revision in 2019 due to contracture. The areola is pinched at bottom leaving. Small gap making the areola an open circle when standing up. What are options? Will scar revision correct this without doing Damage to the lift? Please advise. I had genesis laser dotted on the tiny space but it did nothing.

Daniel Barrett, MD · Answer

Dear doingmeup,
based on your photo, it looks like you would benefit from scar revision. For scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.You should discuss your concerns with your plastic surgeon as different surgeons have different approaches in scar management.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Dallas Buchanan, MD · Answer

Thank you for your questions. I think that based on your photo, you have a reasonable outcome from what you are describing. Do not chase perfect and end up causing a worse problem. I think a tattoo option might be better for correcting pigment issues and shape/contour than a surgical revision.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Harold J. Kaplan, MD · Answer

Hello DMU.  You may be better served with a permanent makeup solution than another surgery.  Find a permanent makeup artists that does scar repair well.  We've had many patients happy with the results of recoloring with this method.

Darryl J. Blinski, MD · Answer

With the 1 posted photo I think a scar revision of the spread scar inferiorly to areolar can be preformed without any effect on the general appearances of your breasts lift surgery. Best to seek in person consults with... fees in the $5,000 ranges.

Will scar revision on the areola to repair the bottom center opening damage my breast lift connection? (Photo)

Answers (5)

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