Las Vegas Circumareolar - Ask Dr. Garcia Library - Page 1

NOTICE: Las Vegas Circumareolar: Ask Dr. Garcia is intended for educational and discussion purposes only. It does not constitute a formal medical evaluation nor consultation. No doctor-patient relationship has been formalized by this communication. If you desire such, please feel free to call and schedule an appointment. Otherwise, please be advised that all information that has been given here should be cleared with your primary care physician before changing or instituting any therapy. Explanation of off-label use of substances may be discussed here in but does not reflect an endorsement nor promotion of such off-label use. All responses regarding Las Vegas Circumareolar are done personally by Julio Garcia.

• 6-21-05 I had a donut breast lift two years ago, and now I have significant scarring. Also, I still have some sagging, and my areola have stretched out. When my areola muscle fibers contract (such as when I am very cold), the scars are much less visible, my breast appear less saggy, and my areola is smaller. Does anything exist to make the areola permanently contract? If not, some sort of product or procedure such be researched, as this would improve several problems women have with their breasts.

  Answer:  There is nothing that will make the muscle fibers permanently contract around an areola after a circumareolar breast lift. It will take a repeat surgical procedure with more scarring on the vertical aspect of your breast than you have at present. JG 6.21.05

• Hi Dr. Garcia, I had a breast lift 6 months ago after loosing 75 pounds and breast feeding two kids, I am 45 and now where a size 6 at 5feet one inch. I had a lesser scar lift called the donut or benelli. I also had a augmentation at the same time with my fill at 450cc and 475cc, one was slightly bigger than the other. My surgeon had to lift them about 3 inches, as far as the lift they look great where the nipple is. I am unhappy with the size and shape they are a flatten look at the nipple area, the rest of the shape is great. They have a little sag at the bottom but the tops are full which I like. I wanted to know if I put larger implants in would the shape be more of a ball instead of flat shape. My surgeon said I would have to finish off the lift to the anchor type and have more scarring which I dont want to shape them as the round look.If you push up the skin from the bottom a little they also look great. I want to redo them if it makes sense. They look great in a bra and clothes but braless and in my bathing suit they have a flatter shape then a regular breast, what should I do?

  Answer:  The flat shape is due to the purse string technique used for the breast lift, a larger implant will not fix that, and the hanging tissue down low is due to an inadequate amount of breast tissue being lifted again due to the technique. I agree with your surgeon that to get a better shape you will need longer incisions, more then the circumareolar scars. JG 6.9.05

• I'm in my mid-twenties and used to have very firm, uplifted breasts (34C), but after yo-yo dieting for the last 8 years I've noticed some sagging (just a little -- it looks like there is just too much skin) along with stretch marks. I don't mind the stretch marks so much, but the sagging bothers me. I want to have a breast lift, but the scarring isn't worth it at this point, since the problem isn't too severe yet. Would it be possible to have a breast lift without the usual vertical scar under the nipple? Would the results be as good with another technique?

  Answer:  A circumareolar mastopexy is done by some surgeons, but when the purse-string is cinched to limit the scar, it tends to flatten the breast and it loses projection. Also at times the scars can spread and look thick and wide. The only way to remove excess skin is to cut it out and if it is cut out it will leave a scar. JG 5.13.05