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Scars on areola around nipples from previous piercings (Photo)

LjmorrisonJun 20, 2016
I had gynecomastia surgery about a year ago (scars are next to invisible), prior to the surgery I had my nipples pierced which had caused some. scarring. Tried silicone sheeting for about a year with no change. My gynecomastia is gone but my nipples can still look 'puffy' from the raised scar tissue. It also seems to make them pucker in the middle. Is this something that could be excised or revised? Thoughts? Advice? Thank you in advance!

Answers (3)

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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Jun 23, 2016
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Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Jun 21, 2016
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Dr. Johnson C. Lee, MD
Dr. Johnson C. Lee, MD
Board Certified Plastic Surgeon
Answered on Jun 22, 2016
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Jason Emer, MD

I would suggest an in person consultation with an expert for evaluation. Silicone based scar gels may help. Scars can be improved with lasers, microneedling, and surgery. Hypertrophic scarring can be treated with lasers along with steroid/5fu injections. Please seek an expert. Best, Dr. Emer.

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Raffy Karamanoukian, MD, FACS

Massage the scars with Plato's Scar Serum followed by surgical extraction of the sutures if they do not resolve. Best, Dr. KaramanoukianLos Angeles

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Raffy Karamanoukian, MD, FACS

Treatment of keloids is an art. I would now avoid kenalog injections and speak to a specialist about repairing the atrophy. Best, Dr. KaramanoukianLos Angeles

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Rohit Seth, MD, MRCS(Ed), PhD

Thank you for your question and the picture. Unfortunately, the upper lip has been repaired in a misaligned manner such that the vermillion border (red part of the lip) has not been attached to the adjacent side correctly. The main thing here is to cut through the existing scar, remove any scar...

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Raffy Karamanoukian, MD, FACS

I would begin conservatively with application of Plato's Scar Serum, light chemical peels to exfoliate pigmentation, and Melarase to avoid hyperpigmentation. Best, Dr. KaramanoukianLos Angeles

+2 answers
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Jason Emer, MD

I would suggest an in person consultation with an expert for evaluation. Keloids and hypertrophic scarring should be treated in a combination approach with lasers along with steroid/5fu injections. Best, Dr. Emer.

+3 answers
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