Is It Okay That my Periareolar Incision Looks Like a Crease Incision? Whats the Best Way to Heal the Areola Scars? (photo)

Question

Im post op 2 weeks. My ps told me i can take off the bandages whenever i feel like. So i did last night. Im a little concerned. My areola incision is not around my nipples but its a line right under my nipple. It looks like i had a crease incision on my nipples. I believe its because the silicone implants are too big and im very petite so he didnt have a choice but are they gonna blend in the future? Also there is still blood on my scars. Do they look like they are in a normal healing process?

Kurtis Martin, MD · Answer

Your incision looks normal for 2 weeks with no signs of problems. However, it appears the incision veers away from the areola medially. The incision should follow the areola in a more superior direction. My guess is the surgeon extended the incision during the surgery and there were no marks to follow on that part of the areola.

Luis Villar, MD, FACS · Answer

It is too soon to worry and too soon for definitive advice.  In 3 to 6 months you should have a good idea of the  quality of your surgery and/or your wound healing genetics.

	In adults a wound may take 12 to 18 months to reach full maturity with soft pliable tissue and recession of capillary ingrowth.  You are now in the collagen formation and wound contraction phase of healing which produces a red, rubbery, immobile scar mass peaking at about three weeks, plateauing for weeks or months and remodeling as the wound matures into some form of soft, pliable, white scar.  The process and result is guided by your genetics.  It is prudent to defer revisions until the wound has matured.

	In short.  Be patient.

Vincent N. Zubowicz, MD · Answer

Because of the nature of the areolar tissue swelling can translate into unusual contour and shape issues. They are self-limited and will improve as swelling subsides.

David Bogue, MD · Answer

There are multiple issues to mention in your case. Firstly, the "nipple" incision is made at the border of the areola or slightly inside the areola. In the photos provided, it does appear that the incision went a bit wide on the right rather than following the curve however these are not the best photographs. It is difficult to see your areolar size overall in relation to the breast. Some patients simply have areolas preoperatively that are too small for this type of incision. Scarring also takes time. At two weeks, you have very rudimentary scars. The sutures are still providing the majority of the strength to the closure. It will take another month before the scars have been sufficiently made and at least a year before they have finished maturing. Most peri-areolar scars do quite well. Your plastic surgeon may advise you on scar management techniques such as massage or the use of silicone sheeting. Keep your follow up appointments and stick to the postoperative routine. The worst case scenario would be a scar revision in the future to improve the appearance.

Steven Wallach, MD · Answer

Your incision along the areola border does look like it did not follow the natural contour of the areola.   Its appearance may improve with time.

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Is It Okay That my Periareolar Incision Looks Like a Crease Incision? Whats the Best Way to Heal the Areola Scars? (photo)

Answers (8)

Answer: Scarring after breast augmentation.

Answer: Scarring after breast augmentation.

Answer: Irregulat incison along areola border

Answer: Irregulat incison along areola border

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Recommended reading

Everything you need to know about Breast Augmentation

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