Corrections of Breast Areolas

Breast areola represents a very important component of the breast, in aesthetical terms. Functionally the areola it does not have great significance!
Any procedure at the breast level means drafting the surgery plan which will mandatory consider the position and the size of the areola. The procedures related to this segment include the following:

• breast increase with implants through periareolar approach
• breast reduction (any practice)
• breast reconstruction following cancer abscissions

In the first case some specialists prefer the periareolar approach for aesthetic reasons, due to in their opinion the incision made at the limit between the two skin colors is less visible. This is also valid for very light skin types where, independent of scar's position, this is very less visible. In case of darken skin types, where the areola is also of darken color, the scar becomes very visible due to the contrast between the colors, the white line of the scar interposing between the “beige” of the skin and the “brown” of the areola.
This shortcoming could be corrected with the help of micropigmentation (medical tattoo).

Usually the inferior half of the areola or its external half is incised. The opinion of the specialists of Care Zone Medical clinic is that this type of approach is not required but in the case of traditional surgeries of breast increase due to the location of the scar in the infra mammary fold has much more aesthetic and functional benefits than the periareolar approach. Where there are big time differences between the two areola, these could be corrected through excision of the surplus and periareolar suture. Initially, immediately after the surgery, an unaesthetic skin "curling" appears around the areola.

This solved naturally within the 3 months after the surgery. In case of breast reduction surgeries the areola is mandatory corrected in size. These surgeries are made either through periareolar incision or these incisions are larger, leaving a vertical scar and, sometimes, another one in the infra mammary fold.

The way these scars heal depends on:

• the type of patient scarring
• the type of wires used
• the type of suture used
• the location of the incisions
• the accuracy of the practice
• the expertise of the surgeon
• the compliance with some post surgical care rules.

The only thing we can do nothing about it is the way each patient scars. This is way it is very important that these things are brought to your knowledge and that you assume this risk. Usually, until mature age, anyone of us had at list an incident that ended up with a scar somewhere on the body, and in case there a pathological scar, this is already known by you. Don't hide it from your surgeon! In case of reconstruction following breast abscission, the most frequent practices of areola reconstruction are either hyperpigmented skin graft or, simpler, area tattoo.
In case of the first practice the skin in the inguinal area where usually it has a darken color, is taken and grafted at the level of the neoareola. This technique is called skin transplant.
During the same surgery the nipple is rebuild through one of the practices of correction at the nipple level.

Areola correction through tattoo could be practiced completely or partially through medical tattoo.
Although the treatment is very efficient, 1% of the patients do not obtain the results they want!