Removing Areolar Herniation? (photo)

Question

I was wondering what the best approach is for fixing herniated areolas. I have tuberous breasts and though the shape of my breasts bother me, my herniated areolas bother me most. I was wondering if scoring the bottom breast tissue is enough to fix my tuberous breast shape and remove the herniation of my areolas? Or is it necessary for me to have my breast skin stretched out and have the really ugly circumareolar incision/scar that seems to accompany that method?

Steve Laverson, MD, FACS · Answer

You have a light complexion, good symmetry, and small breasts with high inframammary creases, in addition to areolar issue referenced.  Your body is very well shaped, and if you're getting a circumareolar scar to fix areolae, that scar should be used to lower your inframammary creases and insert implants to improve (normalize) breast size and shape.  Fixing the areolae is an afterthought.  Find a good surgeon, you'll look fantastic.  Scars are obscure, nearly invisible as time passes, and if they bother you, are easy to revise.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question and the photos.

	 

	Yes, a circumareolar lift is best approach for correcting herniated nipples, and breast implants can fill the absence of volume in the lower half of your breasts.  There are techniques that can be done to prevent widening of the circumareolar scars.

	
	To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

George Marosan, MD · Answer

Thank you for the photos. There are several answers about correcting your deformity and all of them suggest implants and tissue rearrangement. I propose fat transfer to the breasts to create a better shape and correct your herniated areolae. This procedure does not leave any scars and you have enough fat around your midsection to give you a very pleasing result. Find a plastic surgeon who is familiar with this technique. Good luck.

J. Brian Boyd, MD · Answer

Your puffy nipples will almost certainly require a circumareolar incisions for their correction. You don't necessarily require a breast augmentation unless you really want to be bigger. If so, the implants can easily be inserted via the same route. Your high infra-mammary folds may have to be lowered, otherwise the implants will seem unnaturally high.

Hilton Becker, MD · Answer

A circumareolar incision with the  subareolar technique is best to avoid scar stretching.

	The sub-areolar technique utilizes multiple deep sutures that take tension off the skin incision,thus reducing the herniated tissue and improving the scar

Removing Areolar Herniation? (photo)

Answers (9)

Answer: Puffy Nipples

Answer: Puffy Nipples

Answer: Preventing areolar scar from stretching

Answer: Preventing areolar scar from stretching

Recommended reading

Everything you need to know about Nipple Surgery

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

Removing Areolar Herniation? (photo)

Answers (9)

Answer: Puffy Nipples

Answer: Puffy Nipples

Answer: Preventing areolar scar from stretching

Answer: Preventing areolar scar from stretching

Browse related questions

Recommended reading

Everything you need to know about Nipple Surgery

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