Options for Areola Scar Revision After Breast Augmentation? (photo)

I got breast augmentation surgery done about 3 years ago (saline implants, under the muscle). I wanted to just go for a more natural look however I am very unhappy with the resulting scars and have been somewhat regretting taking my surgeons recommendation to go through the areola. Basically I am just wondering what my options are as far as scar revision is concerned and what your recommendations are. Thank you

Doctor Answers 6

Options for Areola Scar Revision After Breast Augmentation?

We plastic surgeons try to place the areolar scar along the border between the darker areolar skin and the normal adjacent skin.

It does seem to me that the areolar pigmentation can spread over time. This results in the surgical scar lying inside the areola instead of along its edge.

I recommend you see your original surgeon to discuss revision of the scar or, as a number of my colleagues have suggested, medical tattooing.

Your result looks otherwise very pleasing.

Good luck!

Vancouver Plastic Surgeon
4.9 out of 5 stars 133 reviews

Areola Augmentation Scars

Problem is that the scars have been placed just inside the areola perimeter, not along the junction between un-pigmented skin and areola. In the latter position the (invariably pale) scar is less noticeable. Revision could be done by removing the crescent of areola outside the scar so that the new scar blends in with the pale breast skin and you don't have a 'bulls-eye' appearance.

Certainly tattooing is an option. Regrettably,  brown tattoo pigment fades with time and the tattoo will need to be repeated.

J. Brian Boyd, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 5 reviews

Light scars noticeable in areolae.

The scar looks quite thin, but is lighter than the surrounding areolar pigment. That is obviously hampering your enjoyment of what otherwise looks like a nice result. Ask if your surgeon does tattooing, and if not ask for a referral to a colleague who does. 

Breast reconstructive surgeons often use tattooing for creating or improving the areola after reconstruction, and I think this will offer the best chance for camouflaging the scar. 


An attempt to redo this scar will likely result in a similar outcome. 


Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Breast Enhancement Surgery

It looks like you have a great shape so congrats on an amazing outcome. I think given the location of your scars I would suggest medical tattoo to blend the scar with your areola

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 65 reviews

Periareola scars from breast augmentation

If you are unhappy with the color of the scars from the breast augmentation. you may want to consider medical tattooing to blen the color better.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 26 reviews

Consider a scar revision

Every person heals differently. Since your scars have not improved over the first year you really have no other option but a scar revision.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

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