Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants? (Photos)

Question

Looks like a piece of my areola is cut out and missing at the top corner on my right breast. What can be done? For the scarring I'm using biocorneum but will that help with dark hyperpigmented areas? I also have Mederma 3% hydroquinone. I'm black and I'm going to see a plastic surgeon close to where I live that deals with scarring in ethnic dark skinned patients. My plastic surgeon who did my breast augmentation I went to out of town so it's not feasible for me to keep traveling.

Roxanne Sylora, MD · Answer

Your pigmentation issues are most likely related to scarring and incomplete removal of your areola.  The pale areas around your areola are scarring, either due to loss of some tissue of the nipple there (did you have trouble healing there?), or hypertrophic scarring (overgrowth of scar). It is possible that you may need to tattoo this area if the color does not improve within 6 months.
Along the vertical scar, the hyperpigmented areas are from the skin around your areola before surgery, which was not completely removed.  For many people, the areola has pigment which slowly fades as you get farther away from the nipple.  All of this pigmented tissue was not completely removed, and this is what you are currently seeing. With time, you may get some laxity in this area which may allow further excision of this pigmented area.  It is probably too tight to do this right now.
It is always best to seek a plastic surgeon certified by The American Board of Plastic Surgery for your best options.

Scott W. Vann, MD, FACS · Answer

The "missing piece" I think the tissue is there and it will improve in appearance over the next few months as the pigment returns. The dark areas under your new areola appears to be portions of your old areola that was too large and could not be completely removed. It happens when the aerola is too large to remove completely without too much tension on final closure. This can be fixed in future with a small scar revision. I would hold off on any bleaching agents till you discuss with your surgeon. Your overall shape and result is very nice. Good luck.

Karen Quigley, MD · Answer

You are not missing a piece of your areola. On the rt you have lost some of the pigment making it look like something is missing. In all likelihood this pigment will return. I usually suggest some vitamin E oil for this. I think the Mederma hydroquinone would be good for the hyper pigmented areas but not this spot. It is going to take a little longer for all of this to settle out, perhaps another 6 mos.

Darryl J. Blinski, MD · Answer

You need revision of the excess inferior area dark skin. But do not think the fee would be as cheap as you had! Guess yu get what you pay for.

Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants? (Photos)

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Answer: Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants?

Answer: Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants?

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Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants? (Photos)

Answers (4)

Answer: Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants?

Answer: Uneven areola & piece of areola missing with scarring and hyperpigmentation 2.5 months post breast lift with implants?

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Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.