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?
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.
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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.
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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.
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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.
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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.
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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.
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