I had a breast reduction 10 yrs. The Dr said that my areolas were lg @ I was left with the result on the pic.
Doctor Answers 10
Retained areolar tissue.
Breast Reduction Vertical Scar Revision
The dark vertical line is most likely part of your formerly large areola that weren't completely removed at the time of your original surgery. I am not sure if tattooing would provide you with a good color match with the adjacent breast skin. You would need to ask a tattoo artist. Excising (cutting out) this dark skin and re aligning and closing that vertical line is probably a better option.
However, your surgeon will most probably need to extend the surgical incisions to around part of your prior nipple/areola scars and along part of your breast crease in order to re shape your breasts and re position your nipples and shortened the vertical length by removing some of the skin along the breast creases. I say this because excising these wide vertical scars will make them longer, causing your nipples to point further upward.
Do consult with a Board Certified Plastic Surgeon who does breast revisions.
Wishing You the Best!
Cecilia Franco-Webb, MD
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Areola in scars?
Dark pigmentation along vertical scar is related to original position of the areola before breast reduction
The dark line flanking the vertical part of your scar is pigment that is in the skin that used to be adjacent to the areola when it was lower on your breast. Usually this skin is normal color before surgery so the pigment potential cannot be readily detected, but this is the area where the pigment darkened making the areola diameter look larger if you have had a pregnancy, or more, in the past. The inflammation that is normal with healing simulates the pigment-producing melanocyte cells to produce and deposit pigment after the surgery, resulting in what is termed post-inflammatory hyperpigmentation. It can be easily addressed by re-excising the scars more widely and reclosing the wounds. This can be done under local anesthesia in many situations. Tattooing is not going to help this. I hope that this helps.
Tom DeWire, MD, FACS
Scar revision after breast surgery
10 years post Breast Reduction
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