Breast Augmentation and Areola Reduction?

Hi :) I am going to be getting breast augmentation done soon. I am currently a lovely deflated C thanks to my two lovely breast fed children. What I want to know is when I get my implants can the doctor do the areola reduction at the same time? Also how do they do the incision for that. Will I have to have the scar that runs from my areola to under my breast? Or do they just cut the areola off pretty much? :/ also what is the average price for areola reduction? Thank you all!!!!

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17 Doctor Answers | Asked by Kassi in Texas

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Breast Augmentation and Areola Reduction

This is quite a common combination procedure. If you don't need a breast lift (can't tell without photos), the incision will just be around the areola, and the implants can be placed through that incision in many cases. A "cookie cutter" of a chosen size is used as a marker for the desired size, and the tissue between that cutter mark and the current areoalar margin are removed, and the edges sown, often with a permanent suture to maintain the size. If more of a lift is needed, you... more

Breast Augmentation and Areolar Reduction

You can do an areolar reduction at the same time as your breast augmentation. If you have only slight sagging, the incision would go all the way around the areola. If you have more sagging, it would be better corrected with an incision that also goes from the areola to the bottom of the breast (lollipop shaped). The areola is not cut off in either case. Really it depends where your areola sits compared to the fold underneath the breast how much lift you need.

Areola reduction and breast augmentation

There seem to be some misconceptions and possibly some definitional problems here. The nipple-areola is a completely separate issue surgically from breast augmentation, particularly if (what I view) the old-fashioned peri-areolar incision is not used. Breast augmentation with an implant is just a pillow behind your breast. It does not stretch the areola or make it bigger but may fill it out if it is collapsed and make it appear to be bigger. A large nipple or areola can also look a... more

Areola reduction

Areola reduction can be done a few different ways. One way is to cut out a donut of areolar skin which results in a scar going all the way around the areola. The other way is to do it as part of a vertical lift, which leaves a lollipop scar. Which one is better for you will depend on a few different factors and is hard to tell without photos. Personally, I prefer the lollipop scar because it prevents the areola from stretching out gain. Good luck! more

The areolae may be reduced and implants inserted through the same incision.

Breast implants make your areolae about one centimeter wider, which of course is not what you want. So, yes, a circumferential areolar reduction would be appropriate. The same incision can be used to insert your breast implants, so your only scar will be the circular one around your new, reduced areolae. That vertical scar you mentioned is needed if you are quite saggy and need a breast lift. The cost of an areola reduction is much less if you have it simultaneous... more

Breast augmentation and areola reduction

Yes both can be done at the same time. This procedure the peri areolar mastopexy is reserved for patients who need lesser degrees of lifting.

Concerns about Breast Augmentation/Lifting?

As you can imagine, without direct examination or viewing pictures, it is not possible to give you precise advice. Hopefully, some general information about breast lifting/augmentation may be helpful to you. Generally speaking, the type of breast lift that a patient would benefit from will depend on the degree of breast ptosis (“drooping"). In other words, the more “sagging” a specific patient's breasts demonstrate, the more breast lifting is necessary. As you may... more

Areola reshaping is part of a breast lift or alone as an areolaplasty

Hello, Thank you for the question. If you are undergoing a breast lift as well as an augmentation your plastic surgeon will be able to reshape your areola size as part of the breast lift procedure. If an augmentation is performed alone, an areolaplasty can be performed at the same time to reshape the areola. The incision for reshaping the areola goes around the areola. It is sometimes called a purse-string areolaplasty. All the best, Dr Remus Repta more

Areolar reduction with breast augmentation

You can have a circumferential augment, such that the incision is used for both procedures. However, since this remove that extra "donut", as Dr. Rock has observed, careful attention must be given to the implant size to insure that there is not excess tension on the incision site.

Breast augmentation and lift

Without at least seeing photos and preferably performing an exam, it is difficult to say what would be best for you. If you do not have significant sagging, and implant with /without a circumareola lift could be beneficial.