Is this yypertrophic scars or areola skin? (photos)

Question

I’m a year post-BL/BA. I’m happy with my results except for one thing. It looks like my areola skin was kind of pulled down below the incision line. Sometimes the skin below the areola puckers up, just like the areola does. Looks similar in color and texture too. Is that areola skin pulled down, or is that a hypertrophic scar? I would prefer to fix it if possible. The incision scars I’m OK with. But the puckering skin makes me self-conscious. Pictures attached.

James Murphy, FRCS(Plast) · Answer

It looks like areolar skin to me.This can happen if the width of the excision does not exceed the width of the original areola. Fortunately, it can usually be corrected relatively simply with a local anaesthetic procedure

Daniel Barrett, MD · Answer

Dear SassyPanda,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. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Is this yypertrophic scars or areola skin? (photos)

Answers (2)