What to do with areola tissue on my anchor scar? (Photos)

If a woman has a very large areolar diameters prior to breast lift surgery, it is not uncommon to have pigmentation from retained areola around the vertical scar after surgery. This can generally be excised as a fairly simple outpatient procedure. Surgeons differ in their policy regarding costs for revisions. This should be discussed with your surgeon.

This commonly happens with very large areolae during a breast lift.

If all the darker skin were to be removed, then it would be too wide of an area to close the skin.

Frequently, this may leave an areolar stripe, as you have.

This can very easily be removed under local when the breast softens enough, typically several months.

Close follow up with your plastic surgeon during this time is recommended.

This is not entirely unusual. If one has very large areolas prior to reduction, it can be very difficult, if not impossible to remove all of the pigmented areola tissue.Strange, but the way the breast is reconstructed after the reduction can lead to this appearance. However, now that things are nicely healed, a revision can be be done rather easily with local anesthesia. I hope this helps, thank you.

Thank you for your photos. In patients who have very large areola or whose areola is not much lower than their inframammary fold, it is sometimes impossible to design the vertical lines of the breast lift pattern wide enough outward so they are outside the pigmented areola skin, so the pigmentation ends up on either side of the vertical line of the lift pattern. This may be able to be corrected, under local anesthesia with a simple re-excision of the skin if that skin has had a chance to relax. In addition, a more circular areolar contour may be able to be achieved during this revision. Speak with your plastic surgeon about this possibility. Best wishes.

Unfortunately, during surgery the areola can be blanched by injected medications and staining by the prep solution. The result is that occasionally areolar skin is retained in the vertical component. Once this is recognized, it can be remedied by revision surgery to remove the pigmented skin. This results in a fresh incision that takes weeks to heal, just like the first surgery, As this was an unexpected outcome, most surgeons will not charge for the surgery fee. If anesthesia and professional ASC is necessary to accomplish the procedure you will be charged for these services.

Some areolar spreading is common after this type of surgery. I believe your areolar shape could be drastically improved with further surgery. It may take a trip back to the operating room. Each office has a different policy about revision. You should probably call the office manager to see what may be arranged as far as surgery and possible charge for the revision.

That is very common and simple to correct with a minor revision. Your surgeon will be able to do this for I’m sure

Yes, the excess areolar skin can be cut out in the office under local anesthesia. Sometimes because of tightness, it might take 2 sessions. Discuss with your surgeon if there is a fee for this revision.

This intervention allows you to beautify the appearance of the breast. It is a simple and quick surgical technique, considered minor and when not applied in combination with another type of operation, it only requires local anesthesia/sedation and lasts approximately one hour. During the process, outpatient and without hospital admission, the plastic surgeon (who must be a specialist in breast and reconstructive surgery) will remove a thin layer of skin from the surface to reduce the size of the pigmented area around the nipple, which will be sutured using a very thin thread that avoids leaving scars. Areola reduction will not affect future breastfeeding.
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