A 41-year-old female patient who underwent bilateral breast surgery revision to fix poor areola scarring after breast lift.
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Introduction: How to fix poor areola scarring after Breast lift?
Looking to fix poor areola scarring after a breast lift? Many patients have undergone the suboptimal peri-areolar breast lift popularized as the Benelli Lift. Unfortunately, this breast lift is compromised by higher areola tension that is caused by a lack of undermining and a single purse-string suture used to lift the nipple and areola tissues. The result of placing all of the tension on the areola is a poor areola scar characterized by the starburst effect.
In addition, since incision lines are limited and undermining is avoided only around the areola, a suboptimal breast lift is observed on the order of 1 to 2 cm when most patients would benefit from at least a 4 to 6 cm minimum lift. Finally, the peri-areolar lift does not allow for the optimal reshaping of the breast. All of these limitations typically result in residual ptosis of the lower breast tissues, in a poor breast shape, and areolar scarring.
How to fix a poor areola scar after a breast lift?
Patients routinely present following peri-areolar lifts complaining that their areolas are deformed and that they feel that their breast mounds are still too low. Unsatisfied patients are offered SurgiSculpt’s modified vertical mastopexy as the definitive treatment to fix poor areola scarring after breast lift surgery.
Our modified vertical mastopexy takes advantage of this lift’s ability to reroute the tension from the areola to the vertical pillar that is created along the inferior breast pole.
The revised areola complex is designed to sit on top of the created pillar structure thus eliminating all tension on the areola. In addition, the newly created nipple and areola can be made into a more desirable, smaller areola thus eliminating the starburst effect. Finally, the vertical mastopexy also takes advantage of its capacity to routinely provide up to 6 cm of lift to all patients.
Different techniques leave different scars
Scars are a common result of various injuries and surgeries, and the type of scar left behind is often influenced by the technique used during the healing process. Different techniques, such as wound closure, skin grafting, and laser treatments, can leave different types of scars on the skin. Understanding these various techniques and the scars they can produce is essential for patients and healthcare professionals to make informed decisions about treatment and care.
In this article, we will explore the different techniques used in wound closure and their implications for scarring, the impact of skin grafting on scar formation, and the role of laser treatments in minimizing or altering scars. By understanding the relationship between techniques and scars, individuals can better navigate their healing journey and make informed choices about their recovery and cosmetic outcomes.
Scarless lift
A scarless breast lift, also known as a non-surgical breast lift, offers several options for patients seeking an alternative to traditional surgical techniques. One method involves the use of electrical currents, such as radiofrequency or microcurrent, to stimulate collagen production and tighten the skin. This can lead to a subtle lifting effect without the need for incisions or scarring. Another option is the use of ultrasound technology to heat and break down fat cells, which can also tighten and lift the breast tissue.
Additionally, the dissolvable thread technique involves the insertion of special threads under the skin to lift and support the breasts. These threads gradually dissolve over time, leaving no visible scarring. Each of these scarless lift options offers the benefit of minimal scarring and a shorter recovery time compared to traditional surgical methods.
However, it’s important to note that these non-surgical techniques may not be as effective for patients with significant ptosis (drooping) or who require more extensive lifting. Additionally, results may be less predictable compared to traditional surgery. Ideal candidates for scarless breast lift options are typically those with mild to moderate sagging who are looking for subtle improvement without undergoing surgery. It’s essential for patients to consult with a qualified plastic surgeon to determine the most suitable approach for their individual needs.
Crescent lift
A crescent breast lift is best for patients with minimal sagging and a slight droop of the nipple. This technique is suitable for individuals with smaller breast sizes and who desire minimal scarring. Patients who are good candidates for a crescent breast lift typically have breasts that are only slightly sagging and do not require a significant lift. The procedure is also often combined with a breast augmentation to enhance the overall result. However, it is important to note that the crescent breast lift technique has limitations when addressing larger amounts of sagging and repositioning the nipple. Patients with significant sagging or nipple displacement may need a more extensive mastopexy procedure.
Key factors that make a patient suitable for a crescent breast lift include minimal sagging, minimal nipple droop, and the desire for minimal scarring. This technique is not recommended for patients with larger breasts or significant ptosis. Overall, the crescent breast lift is best suited for patients with mild to moderate sagging and who are looking for a subtle improvement in breast position and shape.
Donut lift
The donut lift, also known as a periareolar lift, is a breast lift procedure that involves making a circular incision around the areola to remove excess skin. The purpose of this technique is to tighten and lift the breast, resulting in a smaller, more elevated areola and a firmer, more youthful breast shape. After removing the excess skin, the remaining skin is then sutured together to reshape the breast.
The donut lift is most appropriate for mild to moderate breast sagging, where the nipples are positioned just slightly lower than ideal. It is often recommended for women who want to address sagging without significantly changing the size of their breasts. However, for those seeking added fullness, the donut lift can be combined with a breast augmentation to achieve the desired volume and shape.
One potential downside of the donut lift is the resulting circular scar around the areola, but this scar typically fades over time and can be well-hidden by the natural color transition between the areola and the surrounding skin.
In conclusion, the donut lift is a suitable option for those with mild to moderate breast sagging, with the possibility of combining it with breast augmentation for added fullness.
Lollipop lift
The lollipop lift, also known as vertical mastopexy, is a breast lift technique that involves two incisions – one around the areola and another vertically down to the breast crease. This method is ideal for candidates with moderate breast ptosis (sagging) and who require a moderate amount of lifting. The lollipop lift is less invasive than the anchor lift, as it involves fewer incisions and results in minimal scarring.
In contrast, the anchor lift, or inverted-T lift, involves an additional horizontal incision along the breast crease, making it more suitable for candidates with severe breast ptosis and excess skin. The anchor lift is more invasive and results in more noticeable scarring compared to the lollipop lift.
General guidelines for determining the best breast lift method include considering breast size and degree of sagging. Smaller breasts with mild to moderate sagging are typically better suited for the lollipop lift, while larger breasts with significant sagging may require the anchor lift. It is essential to consult with a qualified plastic surgeon to determine the most suitable technique based on individual needs and goals.
Anchor lift
The anchor breast lift technique, also known as the inverted-T or Wise pattern lift, involves three incisions: one around the areola, one vertically from the bottom of the areola to the breast crease, and one horizontally along the breast crease. This technique is generally more invasive and results in more scarring compared to the lollipop lift.
Ideal candidates for the anchor lift are those with moderate to severe breast sagging and larger breast sizes, as it provides more support and reshaping of the breast tissue. The anchor lift is particularly suitable for women with significant drooping of the breasts due to pregnancy, breastfeeding, or weight loss.
When considering the most suitable breast lift technique, the decision-making rule revolves around the degree of breast sagging and the patient’s breast size. If a patient has larger breasts and significant ptosis, an anchor lift may be the best option to achieve a more lifted and rejuvenated appearance. However, for those with smaller breasts and mild to moderate sagging, a lollipop lift may be sufficient to achieve the desired results with less scarring and invasiveness. Overall, the choice between the lollipop and anchor lift techniques depends on the individual’s specific needs and desired outcome.
Horizontal mastopexy
Horizontal mastopexy is a surgical procedure used to address extensive sagging of the breasts and reposition the nipples to a more youthful and natural position. This technique involves making horizontal incisions along the natural crease of the breast, allowing for the removal of excess skin and tissue. Through this approach, the breast tissue is reshaped and lifted to provide a more rejuvenated appearance.
One of the main benefits of horizontal mastopexy is its ability to effectively address significant breast sagging, making it an ideal option for patients with extensive drooping. Additionally, the repositioning of the nipples can enhance the overall aesthetic outcome. However, it’s important to consider that this procedure may result in more visible scarring compared to other mastopexy techniques.
As with any surgical procedure, there are potential risks and limitations to consider. These may include scarring, changes in sensation, and the possibility of complications such as infection or asymmetry. Patients should also be aware that their ability to breastfeed could be affected following horizontal mastopexy. Consulting with a board-certified plastic surgeon is essential to discuss individual suitability and expectations for the procedure.
What will the scarring look like?
After a breast reduction procedure, scarring is inevitable but will typically fade over time. The appearance of breast reduction scarring can vary depending on the individual’s skin type and the technique used during the surgery. The scars often appear as thin lines that are initially red or pink in color, and over time, they may fade to a lighter shade or blend in with the natural skin tone. The texture of the scars can range from slightly raised to flat, and they are usually located around the areola, vertically down to the breast crease, and horizontally along the breast crease.
Smaller-scar techniques, such as the vertical or short scar method, may result in less noticeable scarring compared to larger-scar techniques, such as the anchor or inverted T-shaped incision. Darker skin tones have a higher risk of developing hypertrophic scarring or keloids, which are thick, raised scars beyond the boundary of the original incision.
Factors that may affect the visibility and healing of the scars include the amount of breast tissue removed, the skill of the surgeon, and the potential for “dog ears” at the ends of the scars, which can be corrected with additional surgery if necessary. Overall, proper wound care, avoiding excessive sun exposure, and regular follow-ups with the surgeon can help promote the best possible healing and minimize the visibility of the scars.
Will the scars change over time?
Breast lift scars will change over time following surgery. In the first week, they will appear red, raised, and may feel tender. By week two, the scars will start to scab and may feel itchy as they continue to heal. By week four, the scabs will start to fall off, revealing pink scars that are still raised and may feel firm.
At six weeks post-surgery, the scars will start to flatten and the pink color will begin to fade. By six months, the scars will continue to lighten and blend with the natural skin tone. They will also become less raised and begin to soften. After a year, the scars will likely have faded to a light pink or white color and will be significantly flatter and softer, blending in more with the surrounding skin.
Overall, breast lift scars will change from being red, raised, and firm in the first few weeks to becoming flatter, softer, and blending with the natural skin tone over the course of a year. With proper care and attention, the scars can continue to improve and become less noticeable over time.
How to care for your scars and minimize their appearance
Scars are a natural part of the body’s healing process, but many people seek ways to minimize their appearance. Caring for your scars properly can help them heal more effectively and reduce their visibility over time. By following a consistent skincare routine, protecting your scars from sun exposure, and exploring various treatment options, you can work towards minimizing the appearance of your scars and feeling more comfortable in your skin. Read on for tips on how to care for your scars and reduce their visibility.
Scar massage
Scar massage is a crucial part of the recovery process after surgery. The proper technique involves using gentle vertical and horizontal movements with your fingertips, as well as circular massaging, to increase collagen production, promote flexibility, and decrease discomfort around the scar tissue. Begin scar massages about two weeks post-surgery, once the incision has begun to heal. Aim to do daily massages for about 10 minutes at a time, up to three times a day.
To perform the massage, use a gentle touch and apply light pressure to the area. Start with vertical and horizontal movements, lightly gliding your fingertips over the scar. Then, incorporate circular massaging, making small circles around the scar tissue. Be mindful of any pain or discomfort and adjust your pressure accordingly. The goal of scar massage is to break down scar tissue, increase blood flow, and ultimately improve the appearance and flexibility of the scar. Consistency is key, so dedicate time each day to this important part of your recovery.
Silicone sheets or scar gels
When choosing between silicone sheets and scar gels, it’s important to consider the type of scar and the desired outcome. Silicone sheets are recommended for raised or hypertrophic scars, while scar gels are more suitable for flat or atrophic scars. Silicone sheets are effective in reducing redness, thickness, and itching of scars, and are usually worn for 12-24 hours per day. Scar gels, on the other hand, work by softening and flattening scars, and are typically applied 1-2 times a day.
Before starting any scar management, it’s crucial to consult with a plastic surgeon or dermatologist. They can assess your specific scar type, recommend the best treatment option, and provide guidance on proper usage. It’s also important to discuss any potential allergies or skin sensitivities with the healthcare professional to ensure the chosen treatment is suitable for you.
In summary, choosing between silicone sheets and scar gels depends on the type of scar and the desired outcome. Consulting with a medical professional is essential before starting any scar management regimen to ensure safety and efficacy.
Embrace dressings
Embrace dressings are advanced silicone-based bandages that have received FDA approval for the treatment of scars. These dressings are designed to help speed up the healing process and minimize the appearance of scars by providing a supportive and tension-reducing environment for the skin. The use of silicone in the bandages has been shown to improve the overall quality of scars by hydrating the skin, reducing collagen production, and minimizing inflammation.
While there have been numerous studies supporting the effectiveness of Embrace dressings for various types of surgical scars, there is a lack of similar research specifically focused on the use of these dressings for breast reduction scars. This presents an opportunity for further research in this area to determine the potential benefits of Embrace dressings for patients undergoing breast reduction surgery.
In conclusion, Embrace dressings offer a promising option for improving the healing process and minimizing the appearance of scars following surgery. With their FDA approval and proven benefits in other areas, it is important to consider the potential for further research and application of Embrace dressings in the context of breast reduction surgery.
Fractionated lasers
Fractionated laser treatment for scar removal involves using a laser to create micro-injuries in the skin, promoting the body’s natural healing process and stimulating collagen production. This helps to improve the appearance of scars by smoothing out the skin’s texture and reducing discoloration. The number of treatments needed can vary depending on the severity of the scars, but typically 3-5 sessions spaced 4-6 weeks apart are recommended. Temporary side effects may include redness, swelling, and peeling, but these usually resolve within a few days.
Fractionated lasers target the deeper layers of the skin, making them particularly effective for breast reduction scars, which often extend into the deeper tissue. The treatment can help to minimize the appearance of raised or indented scars, as well as reduce any redness or pigmentation.
It is important to wait until scars have fully healed before undergoing fractionated laser treatments to avoid potential complications such as increased risk of infection or delayed wound healing. After the scars have healed, the recommended frequency of treatments can vary, but typically annual maintenance sessions may be needed to maintain results. Overall, fractionated laser treatment offers a non-invasive and effective option for improving the appearance of breast reduction scars.
Sunscreen
Proper usage of sunscreen is essential for post-surgery scar care. It is important to use a broad-spectrum sunscreen with a minimum SPF of 30 to protect the newly healed skin from harmful UV rays. It is recommended to apply sunscreen to the scarred area at least 15 minutes before going outside and reapply every two hours, or more often if sweating or swimming. Some specific product suggestions for post-surgery scar care include Neutrogena Ultra Sheer Dry-Touch Sunscreen, EltaMD UV Clear Broad-Spectrum SPF 46, and La Roche-Posay Anthelios Melt-in Milk Sunscreen SPF 100.
UV rays can darken newly created scar tissue, making the scar more visible. Regular application of sunscreen can help prevent this darkening and protect the scar from further damage. By using sunscreen with at least SPF 30 and broad-spectrum protection, you can ensure that the scar heals and fades properly without being affected by UV rays. It is important to incorporate sunscreen into your daily scar care routine to promote optimal healing and minimize the appearance of the scar.
How Can I Correct Scarring After My Breast Surgery With Revision Techniques?
After undergoing breast surgery, scarring is a common concern for many patients. Fortunately, there are several revision techniques available to help correct scarring and improve the appearance of the breasts. These techniques can help minimize the visibility of scars and create a more natural and aesthetically pleasing result.
Whether you are dealing with hypertrophic scars, keloids, or other types of scarring, there are options available to address these issues and enhance the overall outcome of your breast surgery. In the following sections, we will explore some of the most effective techniques for correcting scarring after breast surgery and the benefits they can offer to patients seeking to improve the appearance of their breasts.
Breast Lift Scars One Week After Surgery
One week after my breast lift surgery, I noticed a significant reduction in swelling and inflammation around my scars. The scars are still forming and appear red and slightly swollen, but they seem to be healing well. There is still some discomfort and tenderness around the scars, especially when I move or touch the area. However, the pain is manageable with prescribed medication and rest.
I have been keeping the scars clean and dry, as per my surgeon’s instructions, to promote proper healing. I understand that the appearance of the scars will continue to change over the coming weeks and months, and I am following the post-operative care guidelines closely to ensure the best outcome. Overall, I am pleased with the progress one week post-surgery and am looking forward to seeing further improvement in the appearance of my breast lift scars.
Breast Lift Scars Two Weeks After Surgery
I am currently two weeks post-surgery for a breast lift, and I have noticed a reduction in inflammation around my scars. The scars have started to form, although they are still quite visible. The healing process is progressing, and the incision sites are gradually improving in appearance.
At this stage, it is important to limit heavy lifting and strenuous exercise to avoid putting too much strain on the scars. This will allow the scars to continue strengthening and healing properly. It is important to be mindful of any movements that could potentially cause stress on the incision areas.
Specific precautions for caring for my scars at this stage include keeping the incision sites dry and clean, avoiding exposing them to direct sunlight, and using scar-reducing ointments or silicone sheets as recommended by my surgeon. Following these instructions will help ensure the scars heal properly and fade over time.
In conclusion, two weeks after my breast lift surgery, the scars are showing signs of healing, but it is important to continue taking precautions and following specific care instructions to promote optimal healing.
Breast Lift Scars One Month After Surgery
One month after my breast lift surgery, the appearance of my scars has transformed significantly. The initial redness has subsided, and the scars are now a faint pink color. The texture is smooth, and the elevation has decreased noticeably. My breasts are settling into a more natural position, which has also affected the appearance of the scars. While they are still slightly visible, they blend in more seamlessly with the surrounding skin.
I have been following my doctor’s post-operative care instructions diligently, which has contributed to the favorable healing progress. Overall, I am pleased with how my scars are evolving, and I look forward to watching them continue to fade and mature over time.
Breast Lift Scars Three Months After Surgery
After three months post-breast lift surgery, the appearance of the scars will continue to improve. At this stage, the scars will have significantly faded and become less noticeable compared to the earlier stages. The pink tint of the scars will have diminished, and the raised texture will also begin to flatten out.
The expected level of scarring at three months after surgery is that the scars will have lightened in color and will be much less raised than before. While there may still be some faint pink or red discoloration, the overall visibility of the scars will have decreased.
To promote further healing and minimize scarring, it is recommended to continue with scar care treatments, such as applying silicone gel or sheets, massaging the scars to improve texture, and protecting them from sun exposure. It is also essential to follow any additional instructions provided by the surgeon and attend any follow-up appointments to ensure proper healing.
Overall, at three months post-surgery, the breast lift scars should be much less visible and showing signs of continued improvement in appearance.
Breast Lift Scars One Year After Surgery
One year after breast lift surgery, the appearance of scars typically undergoes noticeable changes. The scars are expected to have thinned out and flattened, contributing to a more natural look. Additionally, the pigment of the scars usually becomes a pale white, blending in better with the surrounding skin.
Overall, the visibility of the scars tends to diminish over time, although they may still be somewhat noticeable. To aid in the healing process and minimize the visibility of the scars, it is important to continue proper aftercare. This may include massaging the scarred area regularly, applying silicone-based scar sheets, and protecting the area from sun exposure to prevent pigmentation issues.
It is crucial to follow the post-operative instructions provided by the surgeon and attend any follow-up appointments to ensure the scars heal properly. Although complete scar disappearance may not be possible, the overall appearance and visibility of the scars should continue to improve over time with proper care.
How to Minimize Breast Lift Scars
After undergoing a breast lift, it’s essential to address scar reduction to promote optimal healing and achieve the best aesthetic outcome. Proper wound care is crucial in minimizing scars, including keeping the incision sites clean and dry, as well as following the post-op care instructions provided by your surgeon. Avoiding sun exposure is also crucial as UV rays can make scars more noticeable.
In addition to proper wound care, silicone sheeting has been proven effective in minimizing scarring by creating a barrier over the incision sites and maintaining moisture levels. Massaging the scars with a gentle touch can also help break up scar tissue and improve blood flow to the area. Furthermore, laser treatment can be used to reduce the appearance of scars by targeting the damaged skin cells and stimulating collagen production for smoother, more even skin.
Remember that every individual’s healing process is unique, and the success of scar reduction methods may vary. It’s important to consult with your surgeon for personalized recommendations and to strictly follow their post-op care instructions for the best possible results. Lastly, consistent and diligent scar reduction methods will help minimize the appearance of breast lift scars and promote optimal healing.
Best Breast Surgery to Correct areola scars
After a mastopexy procedure, the best breast surgery options to correct areola scars include the vertical mastopexy and the use of reciprocal skin grafts.
The vertical mastopexy is a surgical technique that involves a vertical incision, resulting in a scar that is limited to around the areola and vertically down to the inframammary fold. This method allows for better shaping of the breast and can effectively improve the appearance of areola scars. Reciprocal skin grafts involve using the patient’s own skin from another area of the body to cover and correct the areola scars.
The advantages of vertical mastopexy include improved breast shape and reduced scarring, while reciprocal skin grafts offer the advantage of using the patient’s own tissue for scar correction. However, disadvantages of vertical mastopexy may include the need for longer recovery time and potential changes in breast shape, while reciprocal skin grafts may have a risk of skin graft rejection.
For example, a patient who underwent a vertical mastopexy may experience improved breast shape and minimal scarring, while another patient who opted for reciprocal skin grafts may benefit from scar correction using their own tissue.
In conclusion, both vertical mastopexy and reciprocal skin grafts are effective options to correct areola scars after a mastopexy, each with their own advantages and disadvantages. It is important for patients to discuss with their plastic surgeon to determine the best option for their specific needs.
Conclusion: How to fix poor areola scarring after braeast lift?
When addressing poor areola scarring after a breast lift, there are different techniques and procedures available, including the modified vertical mastopexy and scar revision. The modified vertical mastopexy involves repositioning the areola and reducing the excess skin to create a more natural and improved appearance. On the other hand, scar revision involves removing the damaged tissue and resuturing the incision to improve the appearance of the scar.
The advantage of the modified vertical mastopexy is that it allows for repositioning of the areola and reduces the amount of scarring. Scar revision, on the other hand, is beneficial for improving the appearance of existing scars.
The best approach for addressing poor areola scarring depends on the severity of the scarring, the individual’s skin type, and the desired outcome. Consulting with a qualified plastic surgeon is essential to determine the most suitable technique for each specific case.
In conclusion, there are various techniques available for fixing poor areola scarring after a breast lift, including the modified vertical mastopexy and scar revision. Each method has its advantages and benefits, and the best approach should be determined in consultation with a plastic surgeon.
Finally, SurgiSculpt’s modified vertical mastopexy takes advantage of an incision pattern designed from a traditional breast lift, called the Weiss pattern, that allows for the ideal reshaping of the breast tissue. SurgiSculpt has incorporated this Weiss pattern into the originally published vertical mastopexy to allow for optimized breast reshaping and fix poor areola scarring after a breast lift.
The final advantage of vertical mastopexy is that it allows for the simultaneous incorporation of an implant without compromising the survivability of the nipple and areola.