What are the odds that the areola will stretch out again if a permanent stitch is not used? Would it be worth doing this surgery? Alternatively, would making the breasts bigger help the areolas look more proportional (mine are about 2 inches in diameter)?
January 27, 2024
Answer: What Are the Odds That the Areola Will Stretch Out Again If a Permanent Stitch is Not Used? Thank you for your question. Typically, when closing an incision, absorbable sutures are used under the skin to achieve a good structure, and take tension off of the outer most part of the skin, (epithelium). When performing an areola reduction, we typically will place a purse string suture in the dermis layer around the Nipple Areolar Complex (NAC). This suture is made of permanent material, (nylon, prolene, gortex). This keeps the tension down, and should keep the NAC from spreading. Usually this suture stays buried under the skin. Rarely, the knot might poke out, and so the suture may need to be taken out. We try and wait at least 6 months before taking the suture out. Most women want the NAC to be about 4 cm in diameter. Placing larger implants will sometimes make the areola larger as the skin gets stretched a bit, (depending on the size of the implants and your breasts). Best to talk with your Board Certified Plastic Surgeon. Together you will make a plan. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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January 27, 2024
Answer: What Are the Odds That the Areola Will Stretch Out Again If a Permanent Stitch is Not Used? Thank you for your question. Typically, when closing an incision, absorbable sutures are used under the skin to achieve a good structure, and take tension off of the outer most part of the skin, (epithelium). When performing an areola reduction, we typically will place a purse string suture in the dermis layer around the Nipple Areolar Complex (NAC). This suture is made of permanent material, (nylon, prolene, gortex). This keeps the tension down, and should keep the NAC from spreading. Usually this suture stays buried under the skin. Rarely, the knot might poke out, and so the suture may need to be taken out. We try and wait at least 6 months before taking the suture out. Most women want the NAC to be about 4 cm in diameter. Placing larger implants will sometimes make the areola larger as the skin gets stretched a bit, (depending on the size of the implants and your breasts). Best to talk with your Board Certified Plastic Surgeon. Together you will make a plan. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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November 23, 2022
Answer: Crazy is doing the same thing twice and expecting a different result. With or without an internal blocking stitch, your areola will re-expand. You provide no photos so that's all that can be said. Other techniques may be available to you that would can create long lasting and fine scarring areolar reduction (a formal breast lift).
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November 23, 2022
Answer: Crazy is doing the same thing twice and expecting a different result. With or without an internal blocking stitch, your areola will re-expand. You provide no photos so that's all that can be said. Other techniques may be available to you that would can create long lasting and fine scarring areolar reduction (a formal breast lift).
Helpful