1 year post breast lift, my nipple is scarred pretty badly, can I have it stretched and scar tissue cut out? (photos)

You appear to have a significantly scarred areola within a standard circular areolar closure. This may be due to delayed wound healing or another post-op healing issue. The best way to get a nice round areola on that side is  to remove the scarred areolar skin completely and replace it with a skin graft from the groin which has a slightly darker color than the surrounding breast skin. A difference in pigmentation compared to your opposite areola could be corrected by a medical tattoo artist.

I agree with the other 2 doctors; if you choose the skin graft route, you may want to consider using your labia minora skin as it is contractile tissue and actually makes a very nice areola.  Good luck!

Thank you for the question and pictures.

Although skin graft reconstruction is an option that potentially will improve the appearance of the scarred areola,  I'm concerned about the aesthetic appearance of the skin grafted area.  if you're considering this option,  make sure you see lots of examples of the plastic surgeons previous work;  realistic expectations are very important to avoid disappointment later.

Best wishes.

I am sorry to hear about your problem. When the nipple scars well, it scars amazingly well and, when it scars poorly, it can be horrid. I do not believe that scar revision will improve this condition, which probably resulted from a slough of the nipple tissue. You should consider a skin graft to this area to recreate the nipple and to have tattooing to restore the shape and color of the areola.

first the good news. youe nipple is ok. A ftsg from inner thigh or labia minora with nipple preservation will be required to achieve as normal an areola as possible. good luck

Your pictures show nipple-areola scaring and it can be due to infection or ischemia. The most common cause of this is blood flow compromise during the surgery. The scar revision will not work well and you may try split thickness skin graft.

Your affected areola appears too scarred to be of sufficient elasticity to be advanced into the size of a normal areola.  Based on your photos I doubt that a scar excision with an attempt at areolar advancement will work.  While you have already tried tattooing, repeated application of tattoo pigment may augment the color contrast of the psuedo-areola and further camouflage the existing periareolar scar. Alternatively, consideration  for a full thickness graft reconstruction of the areola can be considered.