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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