My areolas are uneven with raised scars. What happened? What can be done about this?

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello @Genuine928597, thank you for your question. The scarring in a 99 per cent is associated to the genetics of the patients and to the movements and daily activities of the patients, that is why there are recommendations to ensure the best healing possible. There are many things nowadays to be able to manage a scar process. Technologies like laser, fixer and other products to make the scar smaller or minimize it those are nonsurgical treatments or you could consider a scar revision. Your surgical o non surgical plan will depend on what you want to achieve. It is important that you have a consultation with a board certified specialist to determine a surgical plan according to your needs. Best wishes! Alan Gonzalez MD, FACS.

It is not that infrequent to see some asymmetry in size of areola and entire breast after breast surgery. In most cases some asymmetry was present before surgery, but if it is not recognized and discussed with patient, it may create additional confusion after surgery. In any case, if serious, this can be corrected, both areola and breast volume adjustment. Breast as well as any other scars, take good 12-18 months to settle and mature; management with occlusive scar tapes and gels is something that may help even now. Open communication with your surgeon is best way to correct current issues. Good luck.

Dear Genuine928597,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

If you discussed you concerns with your surgeon, and he chooses not to revise your scars, you might want to visit with another surgeon. Surgical assistants are used very commonly in surgery, especially with long procedures, and they are quite legal.