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Almost always there is some modest asymmetry before breast surgery. Often times there is a modest amount afterwards. Any significant asymmetries can be corrected by revisional surgery.
Let me start by saying No, an asymmetric areola size is not normal for a post operative result. However, timing is everything. The symmetric result that is normal may require three months of healing. After that, asymmetry requires surgical repair.
The areola can stretch due to swelling yielding early asymmetry. Give it time before you begin to judge the final result.
Typically during a breast lift, the areola(s) are cut based on an exact template (ie, like a cookie cutter). Therefore, each areola is exactly the same size as the other. However, other factors can come into play, especially early on after a breast lift: depending on difference in breast sizes, amount of skin that has to be resected, differences in pre-op nipple position, etc... these can all affect how much "pull" is on the areola and they can look uneven for a while. On rare occasion, this difference may persist, but it is rarely of much significance to notice. Good luck! Matthew Concannon MD
A mastopexy is a term that describes a group of operations. The Benelli or periareolar doughnut mastopexy is one variety. There are limited indications for it.
Don't expect your breast to be perfectly symmetrical at any time. However shortly after mastopexy significant asymmetries may exist due to asymmetric swelling. These will improve with time.
The general rule for donut lift is you can remove twice the diameter of the desire areola size. The average size areola is 4.2 centimeters, so you could take approximately 8.4 centimeters in diameter and close the wound with the minimal amount of rippling. Best...
