I had a breast lift about a year ago. I'm satisfied with the overall shape but the right nipple had terrible scaring. It is surrounded by scar tissue now with only a little nipple tissue in the middle. I tried nipple tattooing but it didn't seem to take and I would prefer to have actual nipple tissue if possible. I read you can have it stretched and cut out the scar tissue. Is that true? I'm really embarrassed by the way it looks now. Please help.
A: Your areola appears too scarred to be advanced into the size of a normal areola
Your affected areola appears too scarred to be of sufficient elasticity to be advanced into the size of a normal areola. Based on your photos I doubt that a scar excision with an attempt at areolar advancement will work. While you have already tried tattooing, repeated application of tattoo pigment may augment the color contrast of the psuedo-areola and further camouflage the existing periareolar scar. Alternatively, consideration for a full thickness graft reconstruction of the areola can be considered.