I had silicone implants placed 5 years ago. It was performed using the subpectoral, "open pocket" technique from the submamillary fold. Generally I am pleased with the overall appearance. However, is it possible to: 1. Raise the areolas about 1.5 cm utilizing the Crescent incision technique? 2. Shorten my elongated nipples a bit? 3. Can I do this, "in office" with local anesthesia? I would not consider this if I had to have general anesthesia or be sedated.
Answer: Will a crescent incision/areola lift and nipple length reduction help me? A doughnut breast lift, also known as a periareolar lift, involves removing a doughnut-shaped piece of tissue around the areola to lift and reshape the breast. This procedure typically includes resizing the areola, which can actually reduce the size of the areola if desired. However, the procedure does not generally cause the nipples themselves to become larger. The primary changes occur in the breast tissue and the areola. Any concerns about the size or appearance of the nipples should be discussed with the plastic surgeon, who can tailor the procedure to achieve the desired results.
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Answer: Will a crescent incision/areola lift and nipple length reduction help me? A doughnut breast lift, also known as a periareolar lift, involves removing a doughnut-shaped piece of tissue around the areola to lift and reshape the breast. This procedure typically includes resizing the areola, which can actually reduce the size of the areola if desired. However, the procedure does not generally cause the nipples themselves to become larger. The primary changes occur in the breast tissue and the areola. Any concerns about the size or appearance of the nipples should be discussed with the plastic surgeon, who can tailor the procedure to achieve the desired results.
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December 3, 2014
Answer: Simple repositioning of the areola or reduction of the nipples can be performed under local anesthesia Both of the procedures you are discussing can be performed easily under local anesthesia. The main issue that I have with your plan is the crescent technique. That technique, even when "properly performed" would not be expected to raise the areola more than .5 cm or so , and therefore your goal of 1.5 cm is very ambitious for that procedure. I would suggest a complete periareolar, or circumareolar, technique, and even then, you will be pushing it at 1.5 cm without accepting some flattening of the breasts and possible distortion of the areolar shape or edge. A crescent mastopexy is the most likely to cause a wide scar, an elongated or stretched areola, and all minimal if any change in position. Find an experienced board certified plastic surgeon who can tell you all of the potential drawbacks and limitations of such procedures in addition to all of the good points, because only then will you get complete information and be able to make a fully informed decision about how to proceed. Good luck.
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December 3, 2014
Answer: Simple repositioning of the areola or reduction of the nipples can be performed under local anesthesia Both of the procedures you are discussing can be performed easily under local anesthesia. The main issue that I have with your plan is the crescent technique. That technique, even when "properly performed" would not be expected to raise the areola more than .5 cm or so , and therefore your goal of 1.5 cm is very ambitious for that procedure. I would suggest a complete periareolar, or circumareolar, technique, and even then, you will be pushing it at 1.5 cm without accepting some flattening of the breasts and possible distortion of the areolar shape or edge. A crescent mastopexy is the most likely to cause a wide scar, an elongated or stretched areola, and all minimal if any change in position. Find an experienced board certified plastic surgeon who can tell you all of the potential drawbacks and limitations of such procedures in addition to all of the good points, because only then will you get complete information and be able to make a fully informed decision about how to proceed. Good luck.
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