How Can I Get Smaller Areolas Without the Puffiness?

Your nipples are pouty or puffy due to a lack of strong collagenous tissue at the edge of your areolar. This can be corrected by a circumferential areolar reduction which will tighten the dermis and push the herniated breast tissue back where it belongs. This also requires undermining your skin for a distance of 5 -10 cm in 3 directions and a permanent suture at the edge of your areolar. You also have enlarged asymmetric areolar, somewhat droopy (ptotic breast) and your... more

Thank you for the question and picture. Based on your description and picture my first recommendation would be: no surgery at this time. Basically, I think that the risks of the procedure (in your case) outweigh the potential benefits. The risk of areola reduction surgery include ( but are not limited to) infection, areola asymmetry, loss of sensation, hypertrophic or keloid scar formation, wound healing problems, spreading of the areola, flattening of... more

I’m not sure what you mean when you say your areolas are ‘puffy.’ Based upon the picture you provided, I would not describe your areolas as ‘puffy’, but instead as normal. You could consider an areolar reduction -- but given your breast size and weight, skin quality, and absence of breast skin laxity this will have to be performed utilizing a technique to reduce the risk of scar widening. An areolar reduction will produce a more defined areolar border and... more