Enlargement of the vertical and/or areolar scar is present in 5% of patients. We believe this is due to technical reasons, either because of improper closure or because of inadequate compensation for the excess skin around the areola. The solution is simple: revi
sion of the scars with new anchoring of the skin and immobilization. If scar hypertrophy or keloid occurs, radiation therapy is advised. No revision should be undertaken until at least 6 months after the original operation. This is the time required for the skin to retract, for the inflammatory reaction to subside, and for a more definitive shape of the operated breast to emerge.
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