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

Tags:

areola asymmetry options

Comment on this

15 Doctor Answers | Asked by AdriannaLee44 in Brooklyn, NY

Doctor Answers (15)
Community Comments (0)

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

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.

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.

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

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

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.

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

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

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.

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