Actual Case of Breast Reduction Revision Surgery: Improving Enlarged Areolas!

Hello.

Today’s topic is a case in which a patient who had surgery for very large breasts with severe sagging using a semicircular areolar incision came to the clinic for breast reduction revision surgery due to dissatisfaction.

Because the lower part was not fully lifted, the size and shape did not improve, and due to the weight, the areolas stretched even more, making the areolas larger than before surgery.

Usually, there are cases where surgery is performed only with an areolar incision because of concerns about scarring.

However, if the lift is not sufficient with an areolar incision alone,

the areola can stretch,

which reduces aesthetic satisfaction.

Even after surgery, there are cases where the breast size does not decrease and the shape becomes more distorted, which lowers satisfaction with the procedure.

Of course, from the patient’s perspective, a vertical incision line is a concern because it remains visible, but the goal of reduction surgery is to lighten the weight, create smaller and more beautiful breasts, and keep the overall scars as neat as possible.

Reducing a significant amount of weight can make daily life more comfortable and may help improve shoulder, back, and lower back pain.

In the case of revision surgery, Doppler ultrasound was used to check the blood circulation of the nipple, and the revision was performed by removing the enlarged areola and lower tissue.

Because reduction surgery is difficult since it requires finding the intersection of safety, size and shape, scars, and complications, I hope you keep that in mind.