Nipple Surgery: Q&A
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Decrease the Size of Areola Without Mastopexy?
I am 21 years old, 135lbs, no pregnancies. I am very unhappy with the look and shape of my areolas. I want a smaller more youthful look, but would rather wait to get a mastopexy later, after pregnancy. Am I a good candidate for a nipple surgery procedure?
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24 Doctor Answers |
Asked by
kcutie
in usa
+6
Areola reduction is possible, but do you really want scars now?
Certainly you can have periareolar reduction, and careful technique can yield good results. But large areolas cannot be made too tiny, as the circumference of the present areola must be purse-stringed to the new smaller circumference. So there are limitations, and no surgeon, "special sutures," or surgical technique can ignore the rules of dimension. Too much discrepancy equals scar irregularity, and a potentially unsightly scar. What if you decide you don't like the...
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+4
Areola Reduction
You do have nicely shaped breast and definitely do not need a lift. There to reduce your areolas will be very simple procedure. It involves making the new areola marking, then remove the skin between the marking and the outter part of your areola now. Then a special suture is passed through and close the area, and now you will have a smaller areola. Hope that makes sense.
It can be done under local anesthesia and you would not need to be put to sleep.
Good luck.
+2
Is a mastopexy needed here.
This photgragh demonstrates enlarged areola and breast asymmetry . Pregnancy does not always cause ptosis(droop) and you may never require a full mastopexy. Breast asymmetry may also be contributing to your dissatisfaction with your areolar size and position. The size of the areola can be adjusted with a permanent pursestring suture, however you may wish to address the other aspects of asymmetry as well. This should be throughly...
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+2
Areolar reduction surgery
As has been clearly stated, it is possible to have an areolar reduction without a mastopexy. This is actually quite similar to a circumareolar mastopexy in technique and eventual scarring. The outer diameter matches the border of your areola, the inner circle is centered around your nipple measuring a smaller diameter (around 40 mm).
There are two trade-off's with this procedure
The scar. This is generally of good quality but can look a little like...
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+2
Purse string works for areolar reduction
Areolar reduction could be performed without a mastopexy. The focus of the procedure is to make a circular incision around the areola and purse string the areola with a suture that is non absorbable and also hard to feel. Hope that helps!
+2
Areolar Reduction is possible
Yes, if your areolae truly a concern to you, they can be reduced in diameter. You would have a scar going all the way around your areola to accomplish this. Although you certainly don't appear to need a mastopexy at this time, if in the future you did, you certainly could, even after a prior areolar reduction.I would also add that your areolae may stretch again during pregnancy -- I would advise to wait until after finishing all childbirth before pursuing this if you can wait.
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+2
I do believe you can have areolar reduction alone.
Consult with a board-certified plastic surgeon who has lots of experience in breast surgery. In our Santa Rosa, California plastic surgery practice we have performed areolar reduction alone in selected cases with excellent results. It means having a scar around the entire areola, but the areola can be reduced in diameter quite significantly.
+1
Careful consideration
I would caution you and advise you to think carefully. Your breasts are well shaped and have no ptosis (droop). Yes you have larger than average areola, but still well within the normal range of what I see on a regular basis. The reason I say that is that plastic surgery is all about weighing pros and cons. You could have your areola reduced but you would get a scar extending all the way around your areola. This typically is a good area to hide a scar but not everyone...
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+1
Timing for Areolar Reduction
Yes you can have a areolar reduction now and wait for a lift later after pregnancy. The future lift (mastopexy) would use the same scars to further reduce the areola if stretched by pregnancy. The other option of course is to wait to do both surgeries until you have finished having kids.
+1
Areola reduction
I believe that you are a good candidate. Most areola reductions are done in conjunction with a mastopexy and/or implant placement. But if you just wanted the size of your areolas reduced, this can certainly be done. This involves determining the size of areola that you want and marking it with a marker before surgery. The areola skin outside of the circular marking would be removed. I would then place a permanent suture like a GoreTex suture under the skin to maintain the new size of the...
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+1
Areolar reduction with breast lift surgery
Areolar reduction can be performed using a peri-areolar reduction pattern that removes excess areolar skin in a pattern centrifugal to the desired areolar width. The technique can be performed in an office surgery center under local anesthesia.
+1
Areolar reduction without mastopexy--yes!
YES, you absolutely can have an areolar reduction without having a mastopexy. The best part is that this procedure can often be done in the office under just local anesthesia.
+1
Areolar reduction surgery
It would be possible to reduce your areolae in a simple areolar reduction procedure. This won't be a mastopexy and that can be saved for later. A permanent suture will prevent them from spreading out again.
+1
Areolar reduction vs mastopexy
An areolar reduction is a good option in your particular case because you have a normal nipple/arola position, just a slightly larger than normal areola. This can be done under local anesthesia, and I would recommend using a permanent suture, such as Gore-Tex , in order to prevent the scar from widening over time and to also give a more long-lasting result.
It's possible later in life if you have children, that you may require an actual mastopexy to improve the overall shape of your breasts...
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+1
You can decrease the size of your areolas without a lift.
Hi!
Your areolas can be made smaller quite easily. You need a circular incision around your nipples. A purse string suture prevents the areolas from stretching again. If and when you need a lift, the same scar can be used.
+1
Decreasing the size of areola without mastopexy
Dear Kcutie,
There is NO nonsurgical way to reduce wide or irregular shaped areolae. Most areolar reducing procedure are associated with some form of Mastopexy. The new areola is reduced to a circle measuring between 4 to 4.6cm (with the nipple in the center). The areolar tissue outside this circle is removed and the nipple/New areola are relocated to their proper position on the chest.
This may only require an oval incision around the areolas which is closed as a circular scar. In cases...
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+1
Areola scarring
Yes, technically you are a candidate for areola reduction surgery. It is important to know that the areola scar will always be noticeable (some more than others). This may be because the scar heals with too much or too little pigment or because the scar is raised. You should also be aware, that areola reduction surgery does carry other risks such as spreading of the areola, asymmetry, shape irregularity etc. In order to avoid disappointment, it behooves you to be aware of the...
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+1
Areolar reduction
An areolar reduction can be done easily under a local anaesthetic by removing a donut of skin from the outer part of the areola. However, it will leave scars around the areola which may stretch with time.
+1
Areola Reduction without mastopexy is possible
Reduction surgery for the areola is done by excising the excess areola in a circumferential manner around the nipple. Thus, you will have a scar around the perimeter of you reduced size areola.
This reduction is done without additional scars that some types of mastopexy may require.
However, in some cases, this circumareolar incision technique can be modified to also accomplish a mastopexy without the need for additional scars on the breast.
You should seek a...
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+1
Areolar reduction
I think you look like a pretty good candidate for a periareolar breast lift which will reduce you areolar diameter and tighten your breasts a little bit. You could not expect tiny areolas but a significant reduction would likely be possible and would make your breasts more attractive and not likely cause any issues with lactation.
+1
Yes, it is possible to do this with a technique with a peri-areola technique.
Yes, it is possible to do this with a technique with a peri-areola technique.
This is infact very minor form of mastopexy as a mastopexy it means tightening up of the skin of the breast which will be done with the areola reduction.
+1
Decreasing the size of the areola alone
Patients have many different options in breast recontouring surgery. If patients only want to address the size of the areola and do not want to change the size shape position or contour of the breast, a limited surgery on the areola may do the trick. This surgery will commonly remove a small crescent of skin from the areola or a small disk of skin and shape of the donut. If the surgery is limited to the superficial skin, this may be easily performed as an outpatient or office...
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+1
Areolar reduction versus mastopexy
If your areolas bother you tremendously, yes, you are a candidate for an areolar reduction. This would involve an incision around the entire circumference of the areola and reducing the areolas to a smaller circle. Your nipples appear to be in good position on the breast mound and do not require lifting.
You should know, though, that the areolas certainly have the potential to stretch and elongate with pregnancy in the future. If this is the case, you would need additional surgery once...
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+1
Yes, you would be a candidate
Your areolas appear slightly larger than ideal. However, they are not extremely large. Your breasts have a good shape and the nipple-areolar complex is in a normal position.
If your areolas bother you that much, then it would be okay for you to have an areolar reduction alone. You don't really need a mastopexy at this point if you don't want one.
It sounds like you would be happy with only an areola reduction. I think this is a fair option for you. Sometimes less is more and not undergong...
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