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Considering Areola Reduction (Benelli) - Opinion? (photo)

I'm 21 years old, and have always been extremely bothered by my areolas. Throughout my teenage years, my weight varied between 140-195 pounds. I feel these fluctuations led to stretched areolas, and now that my weight has stabilized I would like to have my areolas corrected to a more proportionate size for my 34B breasts. Am I a good candidate for areola reduction using a Benelli lift? Could the nipple be moved higher on the breast during the procedure? Would this create an illusion of lift?

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17 Doctor Answers | Asked by patrick09

Doctor Answers (17)
Community Comments (1)

Benelli lift

Your nipples are not excessively large in my opinion. The Benelli lift may reduce the size of your areolae slightly, but in my opinion would not be worth the scars involved.

Best Breast Surgery for Me (Tuberous/Constricted Breasts)?

Thank you for the question and pictures. I think your breasts demonstrate some of the qualities seen with tuberous (constricted) breasts. Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping). Generally, correction of tuberous breast... more

A bennelli would not give you the result you desire

Breast lift with simultaneous implant surgery can solve the problem that many women develop after having children or losing a significant amount of weight which is loss of upper pole fullness, combined with ptosis, or “sagginess”, of the breast. The main difficulty with this operation has been achieving long term results – in other words, helping to prevent “bottoming out” of the implants and loss of the upper pole fullness that placement of the implants was designed to... more

Areolar Reduction

Areolar reduction can be performed as an isolated procedure or in conjuction with a breast lift (mastopexy and breast reduction procedures. There are various techniques used to reduce the incidence of widened scarring.

Benelli lift for areola reduction

People do all sorts of measurements to determine the average or ideal dimensions of various body parts. The average diameter of the areola is approximately 4.0 centimeters. If your areolae are larger than this then a Benelli lift will not only help to reduce them in size but it can also be used to elevate them slightly on your breasts. Keep in mind that the trade-off would be a scar that goes all the way around your areolae.

Considering Areola Reduction (Benelli) - Opinion? (photo)

A circum-areolar reduction would decrease the size of your areolae and elevate the breast as well

Considering Areola Reduction (Benelli) - Opinion?

You may need more than just a lifting operation. ONLY in person evaluations from boarded PSs in your city will guide you toward a better decision.

Areola Reduction

A youthful, aesthetically ideal breast has an areolar diameter of about 38-42mm (about one and a half inches). Some breasts have large areolas from the time that they develop during puberty, and some enlarge later in life with pregnancy and lactation. A large areola tends to make a breast look 'matronly' even if it is not droopy. Areolar diameter can definitely be reduced, and this can be performed as a stand-alone procedure or as part of larger cosmetic breast procedure such as a lift,... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Considering Areola Reduction (Benelli) - Opinion? (photo)

The answer is YES, a Benelli type purse string procedure to tighten the breast skin envelope a bit and diminish areola diameter/area would be helpful for you, but will not be enough to create the beautiful breasts you probably really would like to have. From the photo, you appear to have a mild variant of tuberous morphology. Expansion of base width by internal release, increased volume and expansion of skin envelope with an implant, lowering the inframammary crease, along with a... more

Areola Reduction with Peri-Areolar or Benelli Lift Technique

Since you would like smaller areolas, and the reduction would be relatively small, a peri-areolar purse-string technique or Benelli would be appropriate and give you a nice result. If the areolas were lower and there was more stretched out skin above the areola, the peri-areolar technique tends to flatten the breast. To counteract this, Dr. Benelli described an internal lift as well, in which the lower breast tissue is divided into flaps. These flaps are criss-crossed to narrow,... more

Areola reduction

An areola reduction can be done to make the areola smaller and lift the breast a bit. It looks like you have narrow breast widths and could benefit from implants as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

A purse-string areolaplasty can re-shape and reposition the areola.

Hello, Thank you for the question and the photos. If you are simply looking to reduce the size of your areolas as well as raise the position of your areolas than a purse-string areolaplasty can definitely accomplish that for you. Its difficult to tell from the photos but you may also have a slightly high breast fold. If that is the case you may want to entertain the idea of also getting breast implants at the same time. All the best, Dr. Remus Repta more

Considering Areolar Reduction

Thank you for the question and photos. The Benelli procedure will achieve the reduction in areolar diameter you seek. While pictures are not the best method of evaluating a patient, it would appear from your photos that your nipples are already in good position. I highly recommend that you obtain an in-person consultation with a Board Certified Plastic Surgeon for a comprehensive evaluation and discussion of your goals.

Considering areolar reduction

Your photo shows a moderately large areola with the nipple positioned above the breast fold. You can lift the nipple modestly and reduce the areola with the Benelli or around the nipple breast lift. Given your age we would caution you about the scar, and the potential for relapse. Even with a blocking suture the areolar might stretch again over time and with pregnancy.

Periareolar lift for this problem

This is more than a large areolar problem. What you have is something called tubular or tuberous breast deformity. The crease under the breast is very tight, and the base of the breast somewhat constricted. The breasts usually point downward slightly and there is a wide space between the breasts. When I treat this problem I usually perform a periareolar lift with small implants and do underscoring of the breast internally to open or expand the base. Make sure you... more

Benelli Lift and Areolar Reduction

If you want areolar reduction and only a modest amount of lift then the Benelli lift is a reasonable procedure with which to proceed.

Areolar reduction

Your areolas are somewhat large, and could be reduced by a Benelli technique. Be sure and look at some photos of peri-areolar scars to be sure that you think that the change is size justifies the scars. A small amount of lift can be done with this technique, but it appears to me that your nipples and areolas are properly positioned. When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from... more

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Comments (1)

Luka08 5 Jan 2013

Hi Patrick09, Your Areola look natural and feminine to me and not too big at all. The surgery you are asking for leaves permanent scarring, from what I have seen - not worth it, given how perfectly fine your areola look (in your picture, at least) and how young you are. I hope you decide against it. Good luck and good health.

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