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I Am Very Self Conscience About the Size of my Areolas, What Are My Options?

asked 9 months ago by AdriannaLee44 in Brooklyn, NY
Latest answer by Ronald J. Edelson, MD
Question viewed 788 times
Tags: areola, asymmetry, options

I am interested in a breast aug, but am worried about what my areolas with look like after. I am 23 years old 5'3, with no plans on having children anytime soon. I am about a full B cup, with my right breast slightly lower and pointing downward. I would like to know what my options. I am looking for a much rounded appearance, with a possible areola reduction. I attached a picture below as well. Thanks so much, Adrianna

15 answers to I Am Very Self Conscience About the Size of my Areolas, What Are My Options?

Reduce the size of the areola with purse string suture

Your goals are to have a rounded appearance with the areola higher and smaller after breast augmentation. The procedure most likely to achieve this is to relocate the areola slightly higher with a peri-areolar lift, place the appropriate size implant and control the size of the areola with a purse-string suture. While it is not possible to control the areola size precisely after breast augmentation since it will always be larger due to skin stretch, this technique is the one... more

Robert M. Lowen, MD
Bay Area Plastic Surgeon

Areolar Size, Prominence, and Breast Augmentation

You have some mild breast asymmetry that involves volume, shape, nipple-areolar complex (NAC) position, and breast position on the chest wall. None of these are severe and can be considered within normal variants. The right breast looks slightly larger in size and the NAC is positioned a bit lower on the right breast. From the single photograph you provided, your breasts have an appearance that they are not quite fully mature – the breasts have a bit of a pointed / conical shape, and... more

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon

www.mycpss.com

You would benefit with areolar reduction and correction of asymmetry.

Hi. You look like an ideal candidate for a simple "doughnut type" breast lift. Your areolas are large and somewhat bulging, and as you say, the right one is lower. These things can be corrected and you can get a rounded look. The scar is a circle around the nipple, and it usually fades nicely. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Areola size and breast implants

Most women have some differences in the shape or size of each breast, and it is a common during breast surgery to address shape asymmetry. To elevate the right breast and areola slightly, it would require a small amount of skin removal and an incision around the entire right areola. This surgical technique will also benefit you by allowing a narrowing of the diameter of your areola, if this is something you are concerned with. A similar diameter reduction can... more

Michael Suzman, MD
New York Plastic Surgeon

Areola reduction

The size of your areola can be reduced in conjunction with breast augmentation, however it would involve a scar that would go around the entire circumference of the areola. Judging from your photos, in my opinion, the extra scarring would not be worth it, but it is something you can decide for yourself.

Ronald J. Edelson, MD
San Diego Plastic Surgeon

I Am Very Self Conscience About the Size of my Areolas, What Are My Options?

This is a very personal issue as is your breasts asymmetry. Best to have in person evaluations with boarded PS's in your area. Thanks for the excellent posted photo. Shows breast asymmetry and areolar asymmetry.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Areolar Size

The areolas can be made small by making an incision around them and removing some of the extra areolar skin. This technique can also be used to do a small lift on one side to make the nipple location more even with each other. Although absolute symmetry is impossible to achieve, significant differences can be made less noticable. In order to achieve a more rounded breast look, breast implants are needed and can be done through the same incision around the areolas or through a... more

Adam Hamawy, MD
Westchester Plastic Surgeon

You might consider areolar reduction with lift to right side

From your pictures, I did notice the asymmetry of your breasts and the nipple areolar complexes. If your are concerned about the appearances of your areolae and the asymmetry, I suggest that you consider bilateral areolar reduction with a periareolar lift on the right side. There will some scars involved but they are fairly inconspicuous in the periareolar areas.

James Tang, MD
Houston Plastic Surgeon

Candidate for breast augmenation and lift

Based on the photo you provided, you are a good candidate for breast augmentation. In order to achieve your goals and improve your assymetry, you may want to consider a limited breast lift (mastopexy). A limited breast lift would involve an incision around the areola, which would allow me to reduce the size of the areola. This areola reduction may also help with any “puffy” areola appearance. This procedure will result in a scar around the areola so you need to weigh the pros and... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Get more than one opinion.

Your areolas are normal. An augmentation could easily be done, but no matter how we reduce the size of the areolas, they may stretch out again. Even with a suture reduction technique, over the years, they can end up just as they are now, with a stretched out scar around them.

William B. Rosenblatt, MD
New York Plastic Surgeon

The uneven areola

Just as one breast is often slightly larger that the other, so too the areola and nipple position can be different left to right. When considering correction you have to understand the scar, and the possibility of relapse which can be common with 'around the nipple' areolar reduction and lift. Considering that your photo has a rather modest asymmetry you might want to put off any decision for a time and come back to it if it becomes a must do. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Areolar size can be reduced

You have a mildly constricted breast shape with dilation of the areola that accompany that shape. I would recommend a breast augmentation using a reasonably sized silicone implant in the sub-glandular plane through a peri-areolar approach, lower both infra-mammary fold to increase the vertical height of your breasts and do a 'donut mastopexy' to reduce areolar diameter using Gore-Tex interlocking suture technique. I think you'll have a nice result.

Scott Sattler, MD
Bellevue Plastic Surgeon

Minimize your scarring

Every woman has some differences between the breasts. The size of your areola is not excessively large compared to many women and certainly not enough to justify the scarring that would be required to reduce them. Rarely does augmentation surgery cause the areola to increase in size. My suggestion would be to go ahead with the augmentation but hold off on any additional scarring until you've had your family (or decided not to). I would suggest that the implants... more

Donald Kress, MD
Frederick Plastic Surgeon

Areola Reduction

Without seeing you in person, it is impossible to give you specific advice. However, based on your pictures, it looks as if you would benefit from a circumareolar lift. This would involve an incision around the areola. The procedure will accomplish two goals. First, to reduce the size of your areola. Second, to improve the symmetry of your areola position and breast shape. Most patients are not good candidates for the circumareolar lift, but you appear... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Areola asymmetry does not always need to be fixed

Adrianna, Your concern about your areolae is understandable. It may reassure you to know that perfectly symmetrical areolae are uncommon. Areolae that are too large or not positioned symmetrically can be corrected but it is important to be sure that the correction will not create worse problems. The only way to re-position or down size an areola is to make an incision all the way around it. This will leave a visible scar and the margin of the areola will forever be unnaturally sharp and... more