Author Topic: Periareolar lifts  (Read 923 times)

Offline Craterissues

  • Member
  • *
  • Posts: 3
I had surgery with an inferior incision. I have some countour abnormalities and scarring, however it does seem that a lot of this is due to excess skin around the nipple and axilla specifically.
My surgeon recommends doing a donut lift +/- fat grafting
What are the risks of nipple necrosis and scarring if I go ahead with the donut lift? Are these risks any less with a superior crescenteric lift? Is there any way I can reduce the scarring etc?
I honestly dont think I can achieve a decent result without such a lift.

Offline Dr. Elliot Jacobs

  • Elliot W. Jacobs, MD, FACS
  • Senior Moderator
  • Senior Member
  • *****
  • Posts: 4740
    • Gynecomastia Surgery
In most cases, utilizing techniques of wide skin undermining with the anticipation of subsequent spontaneous skin tightening, I have never had to deal with excess skin or the need for a secondary donut skin excision.  

Further, my best answer for craters are fat flaps, rather than fat grafts.  Fat flaps offer a one time, permanent treatment for craters -- that is, if the patient is a candidate for the procedure.

Why don't you post some photos on this site for us to view and the docs can offer better opinions for you?

Dr Jacobs

Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
4800 North Federal Highway
Boca Raton, Florida 33431
561  367 9101
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.c

Offline DrPensler

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 869
    • gynecomastiachicago
Hard to tell based on your story what would be the best approach in your case. You should submit some photos.
Jay M. Pensler,M.D.
680 North Lake Shore Drive
suite 1125
Chicago,Illinois 60611
(312) 642-7777
http://www.gynecomastiachicago.com

Offline Dr. Schuster

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 547
    • www.CosmeticSurgeryBaltimore.com
It's hard to tell exactly what the problem is. I do perform peri areolar skin resections and believe that it helps in patients who have mild to moderate skin elasticity laxity. The resection needs to be conservative in order to avoid contour or shape irregularity and bad scars. Just a difference of opinion among experienced gyno surgeons.
Dr. Schuster
Chief, Division of Plastic Surgery Northwest Hospital
Private practice in Baltimore, Maryland
10807 Falls Road
Lutherville, Maryland 21093
410-902-9800
email: info@drschuster.com
website: www.CosmeticSurgeryBaltimore.com

Offline Litlriki

  • Supporting Doctors
  • Senior Member
  • **
  • Posts: 1375
    • Dr. Silverman's Website
Photos would be helpful. A peri-areolar lift can be useful to tighten the skin, but it requires that the excess skin be distributed in a way that circular tightening gives improvement without distorting breast shape. Sometimes skin laxity is more transverse in its distribution, and the peri-areolar lift won't work as well. The scarring in most cases is very acceptable. 
Dr. Silverman, M.D.
Cosmetic and Reconstructive Plastic Surgery
29 Crafts Street
Suite 370
Newton, MA 02458
617-965-9500
800-785-7860
www.ricksilverman.com
www.gynecomastia-boston.com
rick@ricksilverman.com

Certified by the American Board of Plastic Surgery


 

SMFPacks CMS 1.0.3 © 2024