Hi, I had a round block mastopexy 9 months ago,was immediately bothered by the large size of my areolas,developed hypertrophic scars,I'm going to have an areolas réduction and fat graft,the superior part of the areolas/scars is showing out of some of my bras,I'm afraid it's going to get worse . in your opinion what's is the best surgical technique to avoid having the same outcome? Is fat grafting not going to enlarge the scars?
Answer: Breast lift Dear Phenomenal295059,
Helpful 1 person found this helpful
Answer: Breast lift Dear Phenomenal295059,
Helpful 1 person found this helpful
Answer: A scar revision can be done as well as an areola reduction to help improve appearance. 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.
Helpful
Answer: A scar revision can be done as well as an areola reduction to help improve appearance. 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.
Helpful
November 29, 2022
Answer: Bellesoma Method Your breasts are still very low on the chest wall. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.
Helpful
November 29, 2022
Answer: Bellesoma Method Your breasts are still very low on the chest wall. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.
Helpful
October 13, 2022
Answer: Periareolar mastopexy Based on your preop photo, periareolar mastopexy was not the best form of breast lift for you. Revision should include lollipop type of lift, which will create better lift, better scars and symmetric areolas. Good luck.
Helpful
October 13, 2022
Answer: Periareolar mastopexy Based on your preop photo, periareolar mastopexy was not the best form of breast lift for you. Revision should include lollipop type of lift, which will create better lift, better scars and symmetric areolas. Good luck.
Helpful
October 10, 2022
Answer: Breast Lift When I see your preoperative photo, it's hard for me to imagine that you were not told you needed a formal mastopexy, not a donut lift. Assuming I'm correct, this means you did not 'want the scars' from a lift like that. Now you see that a donut lift in someone like you gives you the worst of both worlds: prominent scars and persistent sagging (and persistently large areola). So, the fact that you're asking about fat grafting tells me that you haven't gotten the big picture yet. You need a formal mastopexy, which will impart an anchor shaped scar pattern. The obvious benefits include better breast mound shape, better lift, and smaller areola. However, what you don't realize is that although the scars will be longer, they will likely be much finer and less visible, especially with time.
Helpful
October 10, 2022
Answer: Breast Lift When I see your preoperative photo, it's hard for me to imagine that you were not told you needed a formal mastopexy, not a donut lift. Assuming I'm correct, this means you did not 'want the scars' from a lift like that. Now you see that a donut lift in someone like you gives you the worst of both worlds: prominent scars and persistent sagging (and persistently large areola). So, the fact that you're asking about fat grafting tells me that you haven't gotten the big picture yet. You need a formal mastopexy, which will impart an anchor shaped scar pattern. The obvious benefits include better breast mound shape, better lift, and smaller areola. However, what you don't realize is that although the scars will be longer, they will likely be much finer and less visible, especially with time.
Helpful
October 10, 2022
Answer: Vertical mastopexy Your result is a very common in that a periaerola mastopexy leads to flat breasts, large aerola and thick scars. Your revision in my opinion needs to be a vertical [lollipop] mastopexy which will give you a more conical shape, smaller aerola that stay that way, and much better scars. You could have some fat grafting at the same time, just don't go crazy with too much volume. Good luck.
Helpful
October 10, 2022
Answer: Vertical mastopexy Your result is a very common in that a periaerola mastopexy leads to flat breasts, large aerola and thick scars. Your revision in my opinion needs to be a vertical [lollipop] mastopexy which will give you a more conical shape, smaller aerola that stay that way, and much better scars. You could have some fat grafting at the same time, just don't go crazy with too much volume. Good luck.
Helpful
