If the appearance of your nipple and areola varies but at times appears normal it is likely due to recovering sensation which can take up to 2 years after surgery. The changeable contractile nature of the nipple and areola in response to temperature change or stimulation is normal. It would be more of a problem if it always remained abnormal in appearance and could well be due to scar tissue especially if the periareolar incision approach was used.

Published on Jul 11, 2012

This is a tough question to answer without a photo. It could be scar tissue. It could be your anatomy. Probably best to ask a surgeon or a site where photos can be uploaded. Good luck.

Published on Jul 11, 2012

A periareolar scar for implant insertion may have resulted in a scar contracture at the bottom of the areola. Applying pressure and massage may be beneficial.

Michael EisemannM.D.
Plastic Surgeon
Houston, Texas

Published on Jul 11, 2012

Thank you for your question! Implants magnify the way your breasts look, and typically do not affect the nipples at all. Sometimes when putting tissue under tension, it can cause the areolas to appear bigger and not as “shriveled up." It is best to see your surgeon to make sure there isn't any developing scar tissue.

Published on Jul 11, 2012

Thank you for your question. Did your plastic surgeon use an areolar incision?

I would recommend following up with your operating surgeon for an evaluation as it is difficult to determine the cause of your areola's appearance based upon description alone. It is possible that if an areolar incision was used that there could be some scar tissue pulling on your nipple, but it would be necessary for you to be evaluated in person for a true diagnosis.

Published on Jul 11, 2012

Thank you for your question. It will be difficult for online consultants to give you good advice without knowing your history and what procedure was performed (as well as being able to examine you). Best to discuss your concerns with your plastic surgeon as he/she knows your history and wants the best results for you... otherwise if you are wanting to have a second opinion, maybe posting photos or visiting with someone for an in person evaluation may be a good idea.

Published on Jul 11, 2012