Areolae reduction in Gynecomastia repair

It is very common for the areolae to unintentionally shrink when performing male breast reduction. This can be observed in the attached youttube video. 

However, a surgeon must exercise caution in reducing the areola circumferentially because this may compromise the blood supply to the nipple and areolae.

I do not perform areolar reduction at the same time as gynecomastia surgery. The complication rate for simultaneous areolar reduction and gynecomastia surgery is logrythmically increased. Areolar size is reduced by the gynecomastia surgery.