Why does my areola keep spreading? Had revision done 3 months ago. (photo)

Question

I had a revision 3 months ago to fix my nipples sitting to high and my left areola spreading. Now my left areola did the exact same thing as last time. My right healed with no issue (the stitch around the areola held and no spitting stitches) the first surgery, but the stitch around the areola on my left “broke” again and I am getting spitting stitches like crazy again. Is there a reason my left areola won’t hold the stitch around it and has so many spitting stitches?

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thanks fo rthe question. I have found that when just doing the areolas without any additional skin being removed to leave a vertical scar (lollipop scar) there can be the stretch of the scar. I think a circumferential scar is pulled in all directions due to the tension that is created and this results in a stretched scar. It might need a further revision but equally laser therapy over the area can sometimes helpSpeak to your surgeon about the possible options Best wishes

Daniel Barrett, MD · Answer

Dear bartleby,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

Johnson C. Lee, MD · Answer

Areolas can continue to enlarge for several months after surgery due to tension on the nipple. It is best to allow the breast and areola to heal fully (6 months to a year) before attempting any revision. Performing a revision while the tissue is still healing will result in more suture failure as the tissue is inflammed and tends to spread and shred through the stitch that is trying to hold it together. I see this often and performed a modified techniques which takes tension off the areola during the healing phase to minimize this risk. Hope this helps!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon

William Albright, MD · Answer

Hello,
It is difficult to say without a history / physical.  From the single photo shown, there could be some subtle difference in blood flow between the areola.  this could explain difficulty with wound healing.  Otherwise, the result is good.  I would maintain a good relationship with your plastic surgeon.  Good luck.
ABPS board certified plastic surgeon

Why does my areola keep spreading? Had revision done 3 months ago. (photo)

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Answer: Areolar spreading

Answer: Areolar spreading

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Why does my areola keep spreading? Had revision done 3 months ago. (photo)

Answers (4)

Answer: Areolar spreading

Answer: Areolar spreading

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Recommended reading

Everything you need to know about Nipple Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.