I'm 21. I have always liked my breast's size and shape, however my nipples have always caused an insecurity for me. Do I have options to getting them flattened out? How big/small of a procedure is it? What causes puffy nipples? If in the future I decided to get implants,would that effect the way my areolas stick out?
Puffy Areolas: Is There a Fix? (photo)
Doctor Answers (6)
Puffy areola fix
Another option would be to have a periareolar mastopexy which is a variant of the Benelli procedure...it involves less undermining of the surrounding skin and works very well for your anatomy and issues...keep in mind that if you have breast augmentation at a later date, you will need to redo the mastopexy if you want to keep the scar along the areolar border...two options would be to do the breast augmentation at the time of the mastopexy through the same scar, or to use a separate incision at a later date.
Correction of Pouty Nipples
Your pouty or puffy nipples can be treated by a circumferential (Benelli) mastopexy. The reduction of your areolar is necessary to correct the poutiness of your nipples. The problem is that your breast tissue has herniated into your nipples due to weak retaining collagenous structures. Reduction of the areolar size will allow tightening of your dermis, the area just below the skin, and this will correct your pouty nipples. This is done using, among other things, undermining of the skin around your nipple and a permanent suture placed at the edge of your new, smaller areolar. All of this will lift your breast to some extent.
With reference to your question about implants and whether the poutiness will return, that is a difficult question and one that should be answered in a face to face consultation with a Board Certified Plastic Surgeon.
Puffy Areola Treatment Options ?
Thank you for the question and pictures.
Areola reduction involves circumferentially removing areola skin around a smaller areola design. This procedure can be done under local or general anesthesia. It is often done as part of a brest augmenation/lift, breast lift or breast reduction procedure, but can be done as a stand alone procedure.
You should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented). Some areola asymmetry may also be present after surgery. Their is a small chance that you may lose sensation.
As with all plastic surgical procedures, you must weigh the potential benefits against the potential risks/complications while making these decisions.
I hope this helps.
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Puffy Areolas: Is There a Fix?
Thanks for posting the photos. I agree with Dr Rieger in theory, but I would "debunk" the areolar tissue through an inferior -3 to 9 o'clock incision of the areolar. Your sequealae could be inability to breast feed, effect on sensation. Seek in person evaluations/discussions to fully understand the operation under local.
Correction of puffy areola shape.
Thank you for your question. You may be surprised at how many young women have the same breast areola shape as you do. This is a simple version of what may be termed a tuberous areola-breast shape. The correction of this breast shape is to perform a circular incision around the areola. Allthough this will leave you with a scar that fully surrounds the areola, the improvement will be very beneficial to your breast shape.
Good luck to you.
Frank Rieger M.D. Tampa Plastic Surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.