aerola size

[marymary78]

I had a breast lift/aug with aerola reduction 10 mo ago. It seems like my aerolas are stretched out again since they have totally healed. Is this common? I don't have large implants either(265 cc silicone gel). My question is: Is reducing the size of the aerola limited due to cutting off nerves, glands,etc. ? I asked him to make them as small as possible but that didn't happen I have always had saggy breast tissue so maybe this issue with my aerolas can't be fixed?

[Dr. Mele]

Dear Marymary78:

Thank you for your question. It is common for the areolas to stretch after breast augmentation with or without a lift. The periareolar lift is the lift that most often demonstrates this. Techniques have evolved to try and prevent this, by placing a permanent suture under the edge of the areola to block it from expanding. While this can help, it is not a guarantee.

It is often possible to further reduce the areola after you have healed. You may want to discuss this with your surgeon. If you had loose skin before, it may be that your skin is more likely to stretch again, but your plastic surgeon should be able to give you a better opinion.

I hope this helps.

[Iris]

Dear Dr. Mele,

Since you mentioned the periareola lift in this thread I have a few questions to ask about it. First of all is a periareola lift and a benelli lift the same thing? And secondly does a periareola lift always include an areola reduction?

I had a periareola lift with an areola reduction 8 months ago. I have had no problem with an increased size of my areolas since the surgery and have been quite happy with the results.

I do have a slight bottoming out issue but I guess when I am ready to address that I'll start a new thread.

Thanks for your time.

Iris

[Dr. Mele]

Dear Iris:

A periareolar lift is also known as the Benelli or Round Block technique. Usually the areola is reduced, but it does not have to be. Sometimes I "reduce" the areaola so that the final result (after stretching from the implant) is the same size.