I guess there is a risk of rupture and spreading of the areola. Would the patient thereafter have to live with pieces of suture buried inside the breast? Or could permanent sutures be removed after 1-2 years? Would sufficient tissue have developed to hold the areola in place?
Answers (2)
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From the photos the recommendation would be a revision to your reduction. This would include revising the areola. You could consider an autoaugmentation which uses your own tissue to give more upper pole fullness and improve shape. This is different from a fat transfer. I've included a video...
Yes, most women have issues with the areolae stretching out due to the size of the breasts, with or without implants. In men the areolae can be made smaller and usually do well.
Your areolae appear to be sitting too high since your breasts have bottomed out and are sagging. The lift, with a small reduction to decrease the weight of your breast, can be repeated and the areolae scars can be revised at the same time.
