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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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Dr. Joshua D. Zuckerman, MD, FACS
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Dr. Richard J. Bruneteau, MD
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Dr. Gary M. Horndeski, MD
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Dr. Jeffrey E. Schreiber, MD, FACS
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Dr. Jeffrey J. Roth, MD, FACS
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Dr. J. Jason Wendel, MD, FACS
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Dr. Richard H. Tholen, MD, FACS
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Dr. David Shafer, MD, FACS
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Dr. Rian A. Maercks, MD
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Dr. Ronald Levine, MD
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