5'4, 152lbs, breast lift 2020 - can my areola be lowered and made smaller? (Photo)

Question

Updated: I had a breast lift in Dec 2020.I'm 5'4,female 152lb.1.stretched out Areolas When I wear a bra my areola stick out. I don't think they re position down correctly and think they're either to big/high and into middle of my chest to much. 2) They look ugly and botched if I'm being honest, the patches are missing and discolored. The skin around the areola is wrinkly. Should I get a reduction/revised? I don't want a breast lift. I want to be like the brown bathing suit and not have to worry my areola

Tek Przylecki, MD, FACS · Answer

Hello. Judging from the photos. It does not look like your area are too high, Although this can be confirmed on physical exam. It appears that your reduction/lift has bottomed out, and essentially most of the breast tissue has fallen below the level of the nipple/areola giving the appearance that the nipples are too high. Also, your scars appear to have had some hypertrophy which can occur if they are closed under tension or there were healing problems. Both of these issues can be addressed by Provision surgery. It is my opinion that you would not need to tissue expansion and multistage procedures. As always, I recommend seeking consultation with a board-certified, Plastic Surgeon. I wish you luck on your journey!

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. It is very difficult to lower areolar position; however, from assessing your photos, by removing a horizontal wedge across the bottom of the breast (along the inframammary fold), that would reduce the amount of skin and tissue below the areolas and in my opinion, be the best way to rebalance the aesthetics of the breasts. The next best step is an in-person consultation with board certified plastic surgeon to do an exam and review your options.

Daniel Barrett, MD · Answer

Dear Thaliabaqbj13,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

I think your nipple level is okay but the lower portion of the breast has bottomed out.  You need skin tightened in the lower part of your breast and that will give you the improvement you need

Camille Cash, MD · Answer

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 I hope you find helpful.

Connie Hiers, MD, FACS · Answer

Your breasts have bottomed out and this appears that your areolae are too high, but they are in good position. I would suggest going smaller with a lift so that your previously stretched out tissue will support your breasts. You may need mesh. The areolae can be revised at the same time. If the breasts are not reduced and lifted, and you just repair the areolae, they will stretch again from the pulling of your breasts.

Kenneth R. Francis, MD, FACS · Answer

Dear Blah,
It looks as though you might have had some healing issues with your areolar scars?  It is a difficult task to increase the skin length between the clavicles and the nipples.  The only real way to do it is with tissue expansion, which is a complicated and long process.  I have had some success doing it with fat transfer to the upper breasts.  A revision breast lift might provide enough lowering of your areolae to put  you back in, at least the first bra that you show.  The second bra looks as if it was designed to show areola.  Good luck!

5'4, 152lbs, breast lift 2020 - can my areola be lowered and made smaller? (Photo)

Answers (7)

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