 Hi everyone, Dr. Sol here. We're going to have a little discussion about ariola reduction. A lot of people I know get the procedure that they call scarless breast lift, but you're dealing with so many lines of tension that over time the ariola expands. Just remember a lot of the pictures they show you are right after surgery. They're not pictures from two, four, six, eight years follow up. Over time the scarless breast lift is going to expand. Very few have I seen that have not expanded. Let's go over some. Here's our patient we had a couple of weeks ago. Of course, I'm going to show you the new ones and we'll see some older ones. Look at the ariola over time it's expanded. What happens is as you breastfeed and you get bigger breasts, the ariola, the skin is thinner and it's more susceptible to expanding than the rest of your tissue. So here we can see the ariola expanded. So what did we do for this lady? What we did is we brought the height of the ariola here, we put the nipple here, we reduced it, we took out the excess skin. This came to this point, this point came to this point and we took off the excess skin. So this is the result of it. So what happens is that the tension goes to this line and this line. If we would have just done a circular reduction, what happens is two things. One is that this suture line is very thinned out. So what happens is over time it will stretch because the tendency of the skin is to go back to where it was. So it will stretch back to where it was before. The way we did it, we put the tension of the scars on these suture lines rather than on a circular tension where it re-expands to the initial phase where the patient has it in. Here's the lateral. In addition, when you do get the lift correctly with the inverted T is that we utilize your tissue and bring it up here. So it's right up here. The tissue that's down here is transferred up here. Look at how beautiful that looks. The patient couldn't believe that she didn't have an implant. She said, I feel it looks like implant, but it's actually her own tissue. Here's another view at it. You can see how beautiful it looks. Look at that slope coming down. Here is coming down in the cross, but here you can see the fullness, all the utilization of the tissue up here. Here's another patient that had the same problem. The patient had a huge areola. She had a scar done. She had bad scarring and everything. We reduced her areola. We put the tension in the right phase and her results look great. Here is another picture of her. You could see the tension is put on this scar and this scar rather than on the scar here where you could see her areola is huge rather than here where it's adequately between 40 to 42 millimeters. So this is a patient. This is a patient from eight years ago, maybe nine, where she came in. She had a procedure done. They told her it was going to be a scarless breastlet. She came to me eight years ago and she looked as such. You could see again, you could see the little tension, line of tensions because the areola skin is thin and just let's go and expand in all directions to accommodate the tightness. So you could see it's just stretching and it's getting and over time it just gets larger and larger. Here's our patient and I've seen her recently and she still has great areola because again the tension is put on the vertical and horizontal aspect of the scar. So this does not expand. The skin does not pull it in different directions. So you could see even after eight years she still has a beautiful result and she does have an implant. This is not her own tissue. This is with implant and she looks great and super happy. Thank you for sharing your time with us.