Areola reduction permanent suture?

Question

Hello, I know areola reduction is made with permanent suture. Let's assume the doctor is using a 6months rated suture to keep the areola in shape, after 3 months post-op, should I except the same areola shape with both a permanent suture or a 6 months rated suture? Or even after 3 months the permanent suture will hold the areola better in place ?

Daniel Barrett, MD · Answer

Dear Adventurous957116,
if you get permanent sutures, they will stay inside the tissue until they dissolve. Your areola shape should not change between 3 and 6 months. . If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Richard Baxter, MD · Answer

There is no simple answer to your question. Permanent sutures can have long-term problems such as extrusion and infection but are better at preventing re-expansion of the areolar diameter. Dissolving sutures avoid these issues but the timeline is not as precise as 3 or 6 months. My personal preference is to use dissolving sutures, but with a little bit of over-correction so that when it dissolves after a few months it won't be too much.

Arthur Dean Jabs, MD, PhD, FACS · Answer

If the areola alone is reduced and not moved in to another skin position, then permanent suture is indicated so the skin tension will not result in a later areola enlargement. I would not rely on a slowly absorbed suture (6 mos rated) to do the job.

If the areola is reduced as part of a mastopexy (breast lift) and a new opening is created then permanent suture is not indicated.

All the Best,

Dr J

Connie Hiers, MD, FACS · Answer

The permanent suture always holds better than the 3 or 6 month stitch, however, the permanent may become an issue at a later date and need to be removed.

Areola reduction permanent suture?

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