Breast lift or mastopexy can involve a circular scar around the areola (which can also reduce the diameter and change the shape of the areola, preferably keeping it mostly round). A more extensive lift involves the same circular scar connected to a vertical scar down toward the lower breast fold. Even more is when a horizontal scar is added along the lower fold..."inverted T, anchor or keyhole pattern". Not sure what you mean by a "dart" around the areola, but it is relatively easy to improve/revise a circular areolar scar to improve the shape/size/roundness which may require only a new circular scar or may require the addition of the vertical component. Discuss this all with your plastic surgeon before proceeding.

Published on Jul 11, 2012

Areolar reductions in which the strength of the repair depends on dissolvable sutures notoriously fail. Therefore, I use a purse string permanent suture that keeps the shape and keeps the areolar from stretching. It also doesn't risk loss of nipple sensation.

Published on Jul 11, 2012

I'm at a disadvantage not having seen a pic; however, I would re-do a Benelli (circumferential) using a Goretex permanent circlage suture to reshape and prevent stretching again.

Published on Jul 11, 2012

Photos would be useful. I'm not sure what you mean by "dart."

Published on Jul 11, 2012

Unfortunately, depending on which type of uplift procedure you have, you may end up with the areola stretching out and being not the same from side to side and not a perfect circle. I would recommend that you support your incisions after any surgery/revision for several months by using ScaRxtape.

Published on Jul 11, 2012