Bumpy Scar Around Areola After Breast Lift

Hi there-

Without examining you and knowing more about the details of your surgery, it would be difficult to say exactly what is going on or how I would recommend correcting the problem, but based on the information provided, it sounds like a minor revision of the skin and scar around the areola should effectively improve the problem for you.

If a lot of gathering was done around the areola, we essentially have a gathering effect caused by a large circle being closed wto a small circle.  This is most common with periareolar, doughnut, or Benelli type procedures.

This problem can often be corrected by conversion of one of the lift types above to a Wise pattern or anchor procedure.

The  best thing to do in your situation is to be evaluated in person by well experienced board-certified plastic surgeons who can determine the cause of the “bumpy scar” and the best ways to revise the area. Unfortunately, without direct examination any advice you receive is not precise enough.

Best wishes.

Lumps around the areoladue to unfavorable scarrring more than likely can be revised, but without an exam I can not be sure.

Sounds like he used permanent deep sutures that never dissolved. Seek another opinion to answer these questions. You may need a scar revisional surgery.

From MIAMI DR. B

The degree of breast sagging SHOULD determine the best operation needed to correct it.  Not All Breast Lift operations are the same in their abilities to correct all DEGREES of breast sagging. The more extensive the sagging, the more excess loose skin exists in the breast which needs to be addressed.

However, not all women agree to having a lollipop shaped scar and some may be led to believe that a breast lift with only a scar around the areola (Periareolar Mastopexy) is as good. The result of being limited to using ONLY the margin of the areola as an extra skin removal edge is having to gather all that excess skin around the areola, resulting in predictable bumps than in having removed in with a single vertical lollipop scar.

Depending on your examination and desires you MAY benefit from a revision surgery with conversion to a partial or full lollipop scar.

It would take more detailed information to tell you why you have bumps around your breast lift scars.  The skin around the areola often needs to be tightened and gathered to go around the smaller areola.  It the lift was just a donut lift then there can be too much skin and the pure string suture will keep the bumps there even after a year.  The purse string suture can be removed to help the bumps shrink but the areola may get wider.  If you did not have a purse string suture then it is hard to know why the bumps have not settled down over this much time.

Since it has been over a year then it is reasonable to do a scar revision to help the situation.

Best Wishes.

Hi.

1)  It sounds like you had a "doughnut" breast lift, with scars around the nipples.  This type of breast lift in New York City we use only for minimal sagging, and usually together with breast implants.  If you try to correct more sagging with just these scars, you get pleats, or as you say, bumps.  This happens because you are bringing together a big circle and a small circle.

2)  You probably need a revision vertical breast lift with lollipop scars, and the bumps will be gone.