Are there dangers in cutting on the areola twice?

Question

I had my breast reduction in June 2021 however one healed awkwardly, it fell to one side and attached itself to the wall of the skin. Now my doctor is giving me the run-around about correcting it. I had an appointment in the morning and he just delayed it until January 2022. My question is are there dangers in cutting on the areola twice?

Scott C. Lindsay, DO · Answer

Thanks for your question! Any time you make incisions in the same place, you run a higher risk for wound-healing issues or possible tissue death. However, lots of patients have revision surgery and multiple incisions without incident. Good luck!

Camille Cash, MD · Answer

Every surgery will come with risks.  Multiple surgeries on the same area can carry increase risks for healing complications.  However if proper blood supply to the area is maintained this can be done safely.  Be sure to see an experienced board certified plastic surgeon to discuss your concerns.

Christopher Pannucci, MD, MS · Answer

Hi Genius491542,
I would definitely suggest you discuss with your original surgeon, who understands the technique that was used to move your nipple the first time--specifically, what blood supply keeps the nipple alive.
In a breast reduction, the nipple can be kept alive on various "pedicles" of breast tissue (superior-medial, central, and inferior are most common). This blood supply should be known and ideally preserved during any revision surgery.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Daniel Barrett, MD · Answer

Dear Genius491542,
ever surgery has potential complications. Generally speaking, revision surgery is more dangerous than primary surgery. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
During the procedure of breast reduction, the nipple-areolar complex is either maintained upon a vascular pedicle flap to maintain its blood supply, or placed as a full thickness skin graft, obtaining its blood supply from underlying tissues. Although I do not have a clear picture of the deformity you describe, in most instances revision can be safely accomplished. Your surgeon's delay probably has more to do with his / her scheduling problems rather than hesitancy. Putting something off doesn't make it disappear! 
It may be wise to call back to see if there are any earlier openings due to cancellations.
Best wishes...

Are there dangers in cutting on the areola twice?

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Are there dangers in cutting on the areola twice?

Answers (5)

Answer: Areola incision

Answer: Areola incision

Answer: Reoperation on the areola after breast reduction

Answer: Reoperation on the areola after breast reduction

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Recommended reading

Everything you need to know about Breast Reduction

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