I’ve done multiple revisions to reduce the size of my left areola (two doctors, three surgeries) with a lasso/purse string technique as well as without. Each time, my areola stretched back out. These are my natural breasts and I know it’s common for one breast to be larger than the other but how do other women who get breast surgery to much bigger sizes than mine still have small areolae? I am considering another revision. What can I do to keep my areola from stretching back out again?
October 13, 2020
Answer: Areola Stretchback: One of the Limitations of Benelli or Circle Mastopexy Thank you for your question regarding circle lifting. Having done over 1000 of these procedures, I try to counsel patients why the procedure can work great, and how it can offer more limited results.The Benelli Mastopexy is best performed, in my opinion, with smaller breasts which do not have much weight or vertical drop. One can easily left the nipple an inch or so, but if the breast is heavy and long, the areola becomes more elongated and enlarged. Generally, after a single revision, it is unusual to have significant improvement if permanent sutures are used to stabilize the areolar diameter and the doctor is talented at doing the procedure.The reason the areola stretches back out is tension. The lift removed excess skin and the breast was closed with the nipple in a higher position using a circular closure. Even if a permanent suture is used, the breast weight and skin tension can often pull the areola back out to some degree.Check with the doctor that the sutures used were permanent. If so, based on your photos, you will likely achieve an uplifted look and smaller areola with a vertical type lift.Best wishes!
Helpful 1 person found this helpful
October 13, 2020
Answer: Areola Stretchback: One of the Limitations of Benelli or Circle Mastopexy Thank you for your question regarding circle lifting. Having done over 1000 of these procedures, I try to counsel patients why the procedure can work great, and how it can offer more limited results.The Benelli Mastopexy is best performed, in my opinion, with smaller breasts which do not have much weight or vertical drop. One can easily left the nipple an inch or so, but if the breast is heavy and long, the areola becomes more elongated and enlarged. Generally, after a single revision, it is unusual to have significant improvement if permanent sutures are used to stabilize the areolar diameter and the doctor is talented at doing the procedure.The reason the areola stretches back out is tension. The lift removed excess skin and the breast was closed with the nipple in a higher position using a circular closure. Even if a permanent suture is used, the breast weight and skin tension can often pull the areola back out to some degree.Check with the doctor that the sutures used were permanent. If so, based on your photos, you will likely achieve an uplifted look and smaller areola with a vertical type lift.Best wishes!
Helpful 1 person found this helpful
May 24, 2019
Answer: Areola The reason the areola stretch is there is too much tension on the skin. Skin has the property to respond to stress by stretch (reason why when people get pregnant or gain weight the skin stretches). In order to avoid the tension on the skin of the areola, you may consider a breast lift to spread the tension over a larger area decreasing the overall stress on the areola. I wouldn't continue performing the same procedure which has failed several times. If you are otherwise happy with your breasts, consider leaving the areola alone. Most women have asymmetric breasts and the risk of surgery and scars may not justify your quest for perfection.
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May 24, 2019
Answer: Areola The reason the areola stretch is there is too much tension on the skin. Skin has the property to respond to stress by stretch (reason why when people get pregnant or gain weight the skin stretches). In order to avoid the tension on the skin of the areola, you may consider a breast lift to spread the tension over a larger area decreasing the overall stress on the areola. I wouldn't continue performing the same procedure which has failed several times. If you are otherwise happy with your breasts, consider leaving the areola alone. Most women have asymmetric breasts and the risk of surgery and scars may not justify your quest for perfection.
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