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What Causes Overstretched Areolas and How to Prevent Them when Getting Breast Implants if One Has Small Areolas?

Burondoajia
Hello, I am wondering what causes areolas to be over stretched after breast surgery and what are some precautions to take to prevent them from overstretching like in the first photo? Below are two photos I am sharing of two patients who started out as an A cup.

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Joshua D. Zuckerman, MD, FACS profile photo
Dr. Joshua D. Zuckerman, MD, FACS
Answered on Feb 21, 2017
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Dr. Joshua D. Zuckerman, MD, FACS
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Dr. Richard J. Bruneteau, MD
Answered on Feb 18, 2017
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Dr. Richard J. Bruneteau, MD
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Dr. Gary M. Horndeski, MD
Answered on Jul 17, 2015
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Dr. Gary M. Horndeski, MD
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Dr. Jeffrey E. Schreiber, MD, FACS
Answered on Feb 23, 2012
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Dr. Jeffrey E. Schreiber, MD, FACS
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Dr. Jeffrey J. Roth, MD, FACS
Answered on Feb 18, 2017
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Dr. Jeffrey J. Roth, MD, FACS
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