Weird shape of breasts and very large areolas after periareoral Mastopexy with augmentation. Can this be improved? (Photos)

Question

Hello. I‘ve had my periareolar mastopexy with breast augmentation 6 months ago to improve th appearance of my tuberous breasts..I’m now abroad for some months, so cannot see my doctor for another consultation. Although I see that the shape of my breasts is questionable and areolas are very stretched. I had Sientra low profile round implants installed (left 210 cc, right 190 cc, to balance some asymmetry). anything can be done to improve the situation? Thank you

John LoMonaco, MD, FACS · Answer

I had the pleasure of chatting with Louis Benelli, the developer of the technique.  He emphasized to me that the technique was ideally suited for smaller breasts, and was not the best choice to  accommodate an implant.

The reason is the areolar tissue is not strong  enough on it's own to hold an implant, which will stretch and flatten the areolar tissue, resulting in sagging.

The repair is to perform a "vertical lift" using a tennis-racket or lollipop-shaped scar

H. Daniel Zegzula, MD · Answer

I reviewed your pre-op photos from your post in 2023.  Looks like you have gained some weight and with the implants your breasts are significantly larger.  Overall the shape is MUCH better.  You still have an asymmetry of size and your areolas have stretched and the scars a a little wide.

I wonder if a permanent suture was used for the periareolar mastopexy?  A redo periareolar mastopexy with a permanent suture and might help the size of your areolas.  The problem is it can flatten the shape of the breast, the scarts may thicken again and possible distortion of the shape of the areolas...

A redo mastopexy with a vertical scar and possible short scar in the fold would get you a better shape.

Good luck.

Weird shape of breasts and very large areolas after periareoral Mastopexy with augmentation. Can this be improved? (Photos)

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Everything you need to know about Breast Augmentation

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Weird shape of breasts and very large areolas after periareoral Mastopexy with augmentation. Can this be improved? (Photos)

Answers (2)

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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.