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https://vimeo.com/album/4163832/video/179213197

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0 Comment February 8, 2017

Breast implant complication areola

One of the most common preventable aesthetic complications in performing a breast lift is widening of the areola. When the breast lift is performed, skin is removed around the areola if it is a periareolar lift. The problem is that when you close the skin, it tends to have a high tension, and because of the elasticity of the skin, it will ultimately stretch with time. This is the reason that after a breast lift, you see some patients developing widening of the areola.

One way to avoid this is by suturing the areola with a very strong suture called Gore-Tex. Gore-Tex is a nonabsorbable suture that can decrease the tension of the closure and actually prevent the areola from getting wide after surgery. Then, using the Gore-Tex sutures, the areola is sutured circumferentially under the skin. Once the suture is circumferentially applied, it is tightened, bringing all the skin toward the midline and reducing the tension of the closure once the areola is approximated. Using Gore-Tex is the gold standard to prevent this complication.

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