Building off an older post, I too have cosmetic issues with my Montgomery glands. I want to know if there is a surgical way to smooth out the areola/nipple area and if this can be done during my breast augmentation procedure. Also, is there a way to "re-position" my areolas to face straighter ahead and if there is anything I need to consider with these procedures. I've included a picture of the bumpy areolas and of my current nipple position.
December 8, 2014
Answer: Nipple areola concerns. I agree with some of the other responses, if you want the breasts bigger get an implant, if you want the same size just a better shape nd areola position then a vertical Breast lift may be the right operation. If you do implants with a lift then still a vertical or maybe a periareolar lift may help reposition the nipples. While it is relatively easy to elevate nipples, it is actually trickier to move them medially as some of the post up ingay be due to your chest wall. As to the montgomery gland smoothing, there is no way to smooth them. And excision is going to leave lots of little scars. Certainly when the nies are repositioned a significant number of the glands around the periphery will be excised. Again, it is so difficult to make any definitive comment without an in person exam but I hope this helps!
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December 8, 2014
Answer: Nipple areola concerns. I agree with some of the other responses, if you want the breasts bigger get an implant, if you want the same size just a better shape nd areola position then a vertical Breast lift may be the right operation. If you do implants with a lift then still a vertical or maybe a periareolar lift may help reposition the nipples. While it is relatively easy to elevate nipples, it is actually trickier to move them medially as some of the post up ingay be due to your chest wall. As to the montgomery gland smoothing, there is no way to smooth them. And excision is going to leave lots of little scars. Certainly when the nies are repositioned a significant number of the glands around the periphery will be excised. Again, it is so difficult to make any definitive comment without an in person exam but I hope this helps!
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December 8, 2014
Answer: Repositionning Nipple/Areolas and correcting Montgomery's Tubercles Your photos are not sufficient for a conclusive surgical opinion but they do suggest that you may have sagging breasts.If you are otherwise happy with your breast cup size / the way they fill you bra and all you want is perkier breasts, then all you may need to consider is a Breast Lift (MASTOPEXY).On the other hand, if you wanted them LARGER you would need to add volume to each breast (Breast Augmentation or fat transfer ) AND have a Breast Lift to reposition the nipple areola complex to a central position on the breast mound.I would NOT operate on Montgomery's tubercles at the same time. You are asking for a higher risk of complications including poor scarring and infections.Good LuckPeter A. Aldea, MD
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December 8, 2014
Answer: Repositionning Nipple/Areolas and correcting Montgomery's Tubercles Your photos are not sufficient for a conclusive surgical opinion but they do suggest that you may have sagging breasts.If you are otherwise happy with your breast cup size / the way they fill you bra and all you want is perkier breasts, then all you may need to consider is a Breast Lift (MASTOPEXY).On the other hand, if you wanted them LARGER you would need to add volume to each breast (Breast Augmentation or fat transfer ) AND have a Breast Lift to reposition the nipple areola complex to a central position on the breast mound.I would NOT operate on Montgomery's tubercles at the same time. You are asking for a higher risk of complications including poor scarring and infections.Good LuckPeter A. Aldea, MD
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