Hi!! From what I’ve seen, the best results with areola reduction come from permanent sutures. I’ve read TONS of reviews where they get a second surgery done (1st time dissolvable, 2nd permanent) because they streched back out between 6mon-1year to the original size or bigger. When spending $6k, that is extremely concerning and steers me toward permanent. BUT I’m struggling to find a dr that uses permanent sutures for reduction. Should I feel comfortable moving forward with dissolvable?
Answer: Permanent vs dissolvable sutures Dear kaibbaby,
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Answer: Permanent vs dissolvable sutures Dear kaibbaby,
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January 31, 2024
Answer: Permanent vs dissolvable Hi. Your question is a great question that always sparks some good conversation and discussion between plastic surgeons and patients alike. While there are multiple factors to consider it all evolves on how much of a reduction we need to perform, what is the excess skin present and how much tension will there be after the areolar reduction is performed. For patients that need a 1 to 1.5 cm reduction with none or minimal tension, I perform the areolar reduction with absorbable sutures. In those cases, I use PDS sutures which take several months to finally dissolve.
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January 31, 2024
Answer: Permanent vs dissolvable Hi. Your question is a great question that always sparks some good conversation and discussion between plastic surgeons and patients alike. While there are multiple factors to consider it all evolves on how much of a reduction we need to perform, what is the excess skin present and how much tension will there be after the areolar reduction is performed. For patients that need a 1 to 1.5 cm reduction with none or minimal tension, I perform the areolar reduction with absorbable sutures. In those cases, I use PDS sutures which take several months to finally dissolve.
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January 27, 2024
Answer: Permanent vs Dissolvable Sutures for Areola Reduction? Thank you for your question. Typically, when closing an incision, absorbable sutures are used under the skin to achieve a good structure, and take tension off of the outer most part of the skin, (epithelium). When performing an areola reduction, we typically will place a purse string suture in the dermis layer around the Nipple Areolar Complex (NAC). This suture is made of permanent material, (nylon, prolene, gortex). This keeps the tension down, and should keep the NAC from spreading. Usually this suture stays buried under the skin. Rarely, the knot might poke out, and so the suture may need to be taken out. We try and wait at least 6 months before taking the suture out. Most women want the NAC to be about 4 cm in diameter. Best to talk with your Board Certified Plastic Surgeon. Together you will make a plan.
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January 27, 2024
Answer: Permanent vs Dissolvable Sutures for Areola Reduction? Thank you for your question. Typically, when closing an incision, absorbable sutures are used under the skin to achieve a good structure, and take tension off of the outer most part of the skin, (epithelium). When performing an areola reduction, we typically will place a purse string suture in the dermis layer around the Nipple Areolar Complex (NAC). This suture is made of permanent material, (nylon, prolene, gortex). This keeps the tension down, and should keep the NAC from spreading. Usually this suture stays buried under the skin. Rarely, the knot might poke out, and so the suture may need to be taken out. We try and wait at least 6 months before taking the suture out. Most women want the NAC to be about 4 cm in diameter. Best to talk with your Board Certified Plastic Surgeon. Together you will make a plan.
Helpful
January 25, 2024
Answer: Sutures for areolar reduction in my practice and in textbooks covering the subject, it is mostacceptable to use non-absorbable sutures for and areolar reduction. This is not always a perfect solution, because the sutures can break, get exposed and need removal, and the areola can stretchh beyond these sutures in some circumstances. It's often good to get a second opinion from another plastic surgeon.
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January 25, 2024
Answer: Sutures for areolar reduction in my practice and in textbooks covering the subject, it is mostacceptable to use non-absorbable sutures for and areolar reduction. This is not always a perfect solution, because the sutures can break, get exposed and need removal, and the areola can stretchh beyond these sutures in some circumstances. It's often good to get a second opinion from another plastic surgeon.
Helpful
January 24, 2024
Answer: Permanent vs dissolvable sutures for areola reduction? The choice between dissolvable and permanent sutures for areola reduction is a decision that should be made in consultation with a qualified and experienced plastic surgeon. Both options have their pros and cons, and the right choice may depend on various factors, including your specific anatomy, healing process, and the surgeon's preferred techniques.
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January 24, 2024
Answer: Permanent vs dissolvable sutures for areola reduction? The choice between dissolvable and permanent sutures for areola reduction is a decision that should be made in consultation with a qualified and experienced plastic surgeon. Both options have their pros and cons, and the right choice may depend on various factors, including your specific anatomy, healing process, and the surgeon's preferred techniques.
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