Periareolar scars are scars that form around the areola, the darker area surrounding the nipple. These scars can develop after breast surgeries such as breast augmentation, breast reduction, breast lift, or even after certain types of biopsies. Some people heal with barely visible marks, while others may notice thick, raised, or uneven scars that affect the appearance of the breast.
Scarring around the areola can be especially noticeable because of the contrast between the pigmented skin of the areola and the surrounding breast skin. While some scars fade over time, others may remain visible for years. This is where periareolar scar revision comes in.
What Is Periareolar Scar Revision?
Periareolar scar revision is a minor surgical procedure used to improve the appearance of scars around the areola. The goal is to make the scar less visible and to create a smoother, more natural look. This procedure does not completely remove the scar, but it can significantly reduce its appearance.
Scar revision can also help if the scar has caused distortion to the shape of the nipple or the breast. In some cases, it may restore symmetry or correct a stretched or misshapen areola.
Why Do Scars Look Different for Everyone?
Every person’s body heals differently. Genetics, skin type, and even age can affect how a scar looks. Some people are prone to thick or raised scars known as hypertrophic scars or keloids. Others may develop wide or stretched scars over time, especially if the skin is under tension during healing.
Other factors that affect scar formation include:
- Surgical technique
- Post-surgery wound care
- Infection during healing
- Smoking (which can slow healing)
- Sun exposure on fresh scars
Because of these differences, not all scars require revision. But for those who are bothered by the appearance of their periareolar scars, revision can be a helpful option.
Who Is a Good Candidate for Scar Revision?
Good candidates for periareolar scar revision include:
- People with visible or bothersome scarring around the areola
- Those whose scars have fully healed (usually 6–12 months post-surgery)
- Non-smokers or those willing to quit temporarily
- People in good general health
It’s important to have realistic expectations. Scar revision can improve a scar, but it won’t make it disappear entirely.
The Consultation Process
Before undergoing scar revision, a consultation with a board-certified plastic surgeon is necessary. During this visit, the surgeon will:
- Examine the scar
- Discuss your goals and concerns
- Review your medical history
- Evaluate your skin type and healing ability
- Explain the risks and benefits of the procedure
The surgeon may also take photos for comparison and help you understand what results you can realistically expect.
How the Procedure Is Done
Periareolar scar revision is usually done under local anesthesia, meaning you will be awake but the area will be numb. Some cases may require light sedation or general anesthesia, especially if the revision is part of a larger surgery.
Here’s a step-by-step outline of what happens during the procedure:
- Marking the area: The surgeon carefully marks the skin around the existing scar.
- Removing the scar: The scar tissue is gently cut out, removing the uneven or thickened skin.
- Reshaping the area: The edges of the healthy skin are brought together in a smooth, natural curve. If needed, the areola may be reshaped or repositioned.
- Suturing: Fine, absorbable or removable stitches are used to close the skin with precision.
- Dressing: A light bandage or surgical dressing is applied.
The entire process usually takes less than an hour, unless combined with other procedures.
Recovery and Aftercare
Recovery after periareolar scar revision is usually quick and involves minimal discomfort. Most people return to normal daily activities within a few days. However, it’s important to follow your surgeon’s post-operative instructions carefully to get the best results.
Here are some common aftercare tips:
- Keep the area clean and dry
- Avoid heavy lifting or intense activity for at least a week
- Do not expose the scar to the sun
- Avoid smoking during healing
- Apply any prescribed ointments or medications
Your surgeon may also recommend silicone sheets or gels to help the new scar heal flat and soft. Follow-up visits will be scheduled to monitor your progress.
What Results to Expect
You may notice an immediate improvement in the appearance of your scar after surgery, but final results take time. It can take several months for the scar to fully mature and fade.
In most cases, the revised scar becomes much less noticeable over time. It blends better with the surrounding skin and may even be difficult to see. However, no surgeon can guarantee a completely invisible scar.
Risks and Possible Complications
As with any surgical procedure, there are risks involved with periareolar scar revision. These may include:
- Infection
- Bleeding
- Poor healing or recurrence of thick scarring
- Changes in nipple sensation
- Asymmetry between the breasts
Most complications are rare and can be managed effectively with proper care. Choosing a qualified, experienced surgeon can reduce your risk.
Cost and Insurance Coverage
Periareolar scar revision is often considered a cosmetic procedure, which means insurance usually does not cover it. However, if the scar is causing pain, functional problems, or is related to a previous medically necessary surgery, your insurance may cover part of the cost.
During your consultation, ask for a detailed estimate. The price may include:
- Surgeon’s fee
- Facility fee
- Anesthesia costs (if needed)
- Follow-up care
Always be sure you understand the full cost before scheduling your procedure.
Alternatives to Surgical Scar Revision
If you are not ready for surgery, there are non-surgical options that may improve the appearance of a periareolar scar. These include:
- Laser therapy: Reduces redness and improves skin texture.
- Microneedling: Stimulates collagen to smooth and soften scars.
- Steroid injections: Flattens raised scars over time.
- Silicone gels and sheets: Helps scars heal better and fade.
- Topical treatments: Products with ingredients like vitamin E, onion extract, or peptides may help.
While these methods are less invasive, they often require multiple treatments and may not be as effective as surgery.
Final Thoughts
Periareolar scar revision is a safe and effective way to improve the look of scars around the areola. For many people, it brings renewed confidence and a sense of closure after previous breast surgeries.
If you’re considering this procedure, take your time to research, choose a skilled surgeon, and go into the process with realistic expectations. With proper care and expert guidance, scar revision can offer beautiful, lasting results.
Related topics:
Can Vitamin E Really Prevent or Reduce Scarring?
10 Fastest Ways to Fade Scars Naturally and Medically
How to Fix Keloid Scars: Effective Home Remedies
