Periareolar lifts

[Craterissues]

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.

[Dr. Elliot Jacobs]

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

[DrPensler]

Hard to tell based on your story what would be the best approach in your case. You should submit some photos.

[Dr. Schuster]

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.

[Litlriki]

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.