Areola is a very important breast component from aesthetic point of view. Functionally the areola does not matter too much! Any intervention at breast level involves the preparation of an operator plan that will necessarily take into account the position and size of the areola. Interventions targeting this segment are:
Breast augmentation with implants through periareolar approach
Breast augmentation (any technique) Breast reconstruction after oncological ablation
In the first case some specialists prefer the periareolar approach for aesthetic reasons, claiming that the incision at the boundary between the two skin nuances is less visible. This is true only in the case of very white skins, which, in fact, whatever the location of the scar, is very little visible. In the darker complexion where the areola is darker, the scar becomes very visible due to the contrast of colors, the white scar of scarring interposed between the "beige" of the skin and the "maroon" of the areola. This shortcoming can be corrected by micropigmentation (medical tattooing). The lower half of the areola or its outer half is usually incised
The opinion of Care Zone Medical clinic specialists is that there is no need for this type of approach to classic breast augmentation surgery because the location of scarring in the inframammary shaft has far more aesthetic and functional benefits than the periareolar.
If there are large differences in size between the two areoles, there is the possibility of correction by surplus excision and periareolar suture. Initially, immediately after the operation there is an unsightly "grooming" of the skin around the areola. This resolves itself in the first 3 months postoperatively
In the case of breast augmentation operations, the areola is corrected to mandatory dimensions. These operations are performed either by a periareolar incision or these incisions are wider, leaving also a vertical scar and sometimes another in the inframamar shaft.
The way these scars heal depends on:
The type of scarring of the patient
The type of yarn used
Type of suture used
Localization of incisions Accuracy of
The experience of the surgeon Observance of the postoperative care rules.
The only way we can do nothing is how each patient heals. That is why it is very important that these things are brought to your knowledge and take this risk. Usually until mature, any of us had at least one incident with a scar somewhere on the body, and if there is pathological scarring, this is already known to you. Do not hide your surgeon!
In the case of reconstruction after breast ablation, the most used methods of reconstruction of areoles are either hyperpigmented skin graft or, more simply, tattooing of the area.
For the first method, skin is harvested from the inguinal area where it is usually darker and it is grafted to the level of nepotism. The technique is called skin transplant.
At the same time, the operator is reconstructed and the nipple by one of the nipple correction techniques.
The correction of the areola through the tattoo is practiced both totally and partially by medical tattoo
Frequently Asked Questions What are the contraindications to the mammary areole corrections?
The contraindications of the operation are severe blood or skin diseases, associated pathologies of poorly investigated breasts, non-cooperative patients and unreal expectations, and scarring disorders.
How long after the ablation of the breasts can be done reconstruction of the breast cannon?
The reconstruction operation of the areolomamelonar complex can be done at the same time as the operator if it is a reduction of amputation amputation or it is done a few months after oncological ablation and reconstruction of the breast.
What Are The Risks Of Correction In The Breast Cancer Area?
In case of reconstruction with a skin graft there is a risk that it may become necrotic and another reconstruction method is needed.
There is also the risk that the graft area will grow hair because usually the hyperpigmented skin that is harvested has hair. If the tissue has undergone antineoplastic irradiation then this risk is greatly increased
In the case of micropigmentation reconstruction, there is a risk that the pigment will not catch even or be a darker or lighter shade. All these shortcomings are resolved at a correction session. Results of corrections at mammary areole are definitive?
The results of reconstruction with the skin graft are definitive. In the case of tattoo, depending on the pigments chosen, the results can last for many years or may be definitive. In the case of definitive pigs, there is a risk that an unwanted change in nuance may occur over time. This can not be corrected.
Although treatment is very effective, however, 1% of patients do not get the desired results!