Nonsurgical Areola Reduction Surgery?

Is it possible to reduce the areola size with a laser instead of cutting and surgery? im thinking of getting liposuction to get my breast smaller and reduce the areola size as well. theyre too big for my frame im 5'2 with 38c. Thanks

Doctor Answers (19)

Areola Reduction Can Only Be Done Through Surgical Means

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Unfortunately there’s no way to reduce areola size without surgery.  Current methods of treatment all involve circumferential excision of the border of the areola to reduce areola size.  In some cases, the laser can be used as a surgical tool to assist in the process, but this does not decrease scarring.
The procedure can be done as a stand alone procedure, but is more commonly performed in combination with breast augmentation/lift, breast lift or breast reduction.  It’s important to realize that areola reduction is frequently associated with adverse scarring because of tension on the wound closure.
Breast reduction utilizing liposuction wouldn’t address the excess skin associated with breast hypertrophy.  This would result in an increased incidence of skin sag following this procedure. 
If you’re considering breast and areola reduction a more traditional procedure might be of benefit.  Consultation with a board certified plastic surgeon might be a helpful next step.  Consultation should result in a better understanding of your options.


Omaha Plastic Surgeon
5.0 out of 5 stars 76 reviews

Nonsurgical Areola Reduction Surgery?

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There is no method to reduce the size of the nipple-areolar complex without surgery. A LASER may be used to assist with the surgery but it would not be the principle technique. Nipple-areolar reduction is usually done in the office under local anesthesia.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
5.0 out of 5 stars 4 reviews

No Such Non-surgical areola reduction

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Unfortunately, it is impossible to significantly reduce your areola without a surgical procedure. Fortunately it is easily done often with just local anesthesia as an office procedure.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 45 reviews

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Nonsurgical Areola Reduction Surgery

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There is no method of Nipple Areolar reduction without a surgical procedure.  Furthermore, if liposuction is used to reduce the breast size you will still be forced to deal with sagging skin due to loss of breast volume and skin elasticity.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 38 reviews

Areola Reduction?

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Thank you for the question.

Areola reduction  involves  circumferentially removing areola  skin  around a smaller areola design. This procedure can be done under local or general anesthesia. It is often  done as part of a brest augmenation/lift,  breast lift or  breast reduction  procedure.

Patients should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented).  Some areola  asymmetry may also  be present after surgery.   Their  is  a small chance that  a patient may lose sensation.

As with all plastic surgical procedures, patients must weigh the potential benefits against the potential risks/complications  while making decisions.

You will be best served to seek treatment by a board-certified plastic surgeon (check with the American Society of Plastic Surgeons)  who can demonstrate a significant level of experience  with the procedure you are planing.  You can ask to see his/her before-and-after pictures and to potentially meet with patients who've had similar surgery.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 720 reviews

Nonsurgical areola reduction

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The short answer is no.  The areola is reduced by taking a strip of the areola and then putting this skin back together.  This is usually done with a knife and suture.  Some may incorporate a laser for the process, but the laser is just a tool, the surgical principle is the same. 

Further, looking at your photos, if you are reducing volume, you could use a lift.  this breast lift will incorporate the areola, and reduce them in size.

Make sure you go to a board certified plastic surgeon as your case has a few interesting variables.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

Reducing the size of the areolae and liposuction of the breasts

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In patients who wish to have the size of their areola reduced, it is possible to do so by surgically removing the outermost part of the pigmented skin. Liposuction of the breasts may remove some of the fatty component of the breasts, but will not correct any sagging of the breast nor reposition the nipples if they are too low. A breast reduction would achieve both reducing the areolae and the size of the breasts.

Olivia Hutchinson, MD
New York Plastic Surgeon
5.0 out of 5 stars 5 reviews

I've seen you before

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Cherry,

There is no known way to nonsurgically reduce the areola.  Additionally, according to the picture, you have some breast sagging (ptosis).  If you liposuction your breasts, the sagging will likely worsen.  Obtain a consultation with a board certified plastic surgeon to discuss your options.  Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 31 reviews

Areola Reduction Surgery

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Nonsurgical Areola Reduction Surgery?
Is it possible to reduce the areola size with a laser instead of cutting and surgery? im thinking of getting liposuction to get my breast smaller and reduce the areola size as well. theyre too big for my frame im 5'2 with 38c. Thanks

Surgery is really the only way.  With liposuction, you will have smaller breast and given the decrease in weight of your breast you may also have some decrease in the size of your areola, but difficult to say how sigficant this would be.  You can have the liposuction performed and weight and see how your areola shape up.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 35 reviews

Decreasing the size fo the areola

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It is unlikely that you can achieve a decrease in size of the areola using the laser. This typically requires a circumareolar techique

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.