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Ask Dr. David Kim (California) In this forum, you can ask Beverly Hills, California plastic surgeon, Dr. David Kim, questions about breast augmentation and other plastic surgery procedures.

Areolas pointing down and pulling in when Flexing

Old 03-22-2014, 10:32 AM
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Location: Laguna Hills, CA
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Areolas pointing down and pulling in when Flexing

Hi Dr. Kim,

I have 325 cc silicone gel implants placed under the muscle. I've now had a total of 3 surgeries. One, the initial breast augmentation. They did not drop and were very high and firm. Second, went back to the original plastic surgeon to have them "dropped down". However, they were still not as natural looking as I'd hoped, still very firm, and mostly left my areolas severely pointing downwards and pulling in when I flex my pecs. I went to a new plastic surgeon who cut out a lot of scar tissue leaving them extremely soft and natural looking. Now going on 5 months post op, my nipples are still pointed downward and pull in when I flex. (See pictures attached) Why is this happening? Is it fixable? I'm very confused. My plastic surgeon said they were just swollen and should go down, but it really doesn't look like it will.

Thank you.
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Old 05-09-2014, 10:05 AM
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Scar tissue forms from the multiple procedures and when you flex it's pulling on the scar tissue causing this deformity. Sewing the tissue in multiple layers and loosening the scar tissue may correct this but it's possible it would still be there.
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