Why does the border of the areola look uneven? I had a 310 HP lift 3 mo post-op. Will I need revision to correct?

Question

Will my areola keep spreading? It’s sore as well and I’m already 3 mo post op. I have an appt this week but curious other input. I’m happy with the lift and size however my areola bothers me physically and aesthetically.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. This is a common finding when doing and implant and a lift at the same time. The pressure on the areola from the underlying implant causes stretching of the areola. Placement of a permanent suture during the lift can help but it not always assured to prevent the problem completely. Your scars will continue to heal and settle for 6-12 months after surgery. I would encourage you to follow closely with your surgeon and follow his or her instructions regarding care. During your follow-ups, you can discuss your concerns.Best of luck!

Anita Patel, MD, FACS · Answer

Your scars are still "maturing" or healing, and it is normal to have some pink or purple color to the scars this early on. However, I do see why you are unhappy with them as there appears to be widening and some irregularity to how they look right now. If parts of the incision are raised or puffy, your surgeon may inject those areas with steroid. You can also try different scar management therapies like Embrace, silicone tape, steroid tape, scar gel, etc. Aside from that, I would say give them time to heal and see how they look once the incisions have faded. They may look fine and not need anything additional. In terms of how much more, if any, they will stretch, really depends on both your body and how the closure was performed.

Urmen Desai, MD, MPH, FACS · Answer

You are only 3-months out from surgery.  I would wait a little while longer to see the final results.  I would also continue to use a silicone based scar cream twice per day.  If this does not change.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Nicholas A. Flugstad, MD · Answer

Thanks for posting. it's not clear why you are having that issue. It's possible that the way the scar is healing, part of the areola is being stretched. I would encourage you to follow up with your surgeon and allow the healing process to continue for at least 6 months. At that point, a better assessment of final healing can be made. My guess is if a touch up is needed, it would be very minor. In person examination is the only way to say for sure.

Why does the border of the areola look uneven? I had a 310 HP lift 3 mo post-op. Will I need revision to correct?

Answers (4)

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