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What is the Best Scar Location for Areola Reduction?

asked 1 year ago by Want Same Size Areola in Austin, TX
Latest answer by Larry S. Nichter, MD, MS
Question viewed 1,316 times
Tags: areola, female, incision, scar

I would like to get areola reduction surgery to reduce the left areola circumference to match the right one. What is the best placement of the incision for the best (least noticeable) scar result? As you can see, my areola has a "soft" edge that I would like to keep to match the right one but I see most scars are outside the areola itself and I don't thick that will look natural. Can the scar be on the areola itself and how do those usually turn out?

5 answers to What is the Best Scar Location for Areola Reduction?

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Incisions for areola reduction

Having considered this question off-list and analyzed it fully although not tried it, I think, contrary to Dr. Placik, that the areola could be reduced in diameter with the incision just inside the edge but only if the nipple-areola is not moved up. If you elevate the nipple-areola to a higher level to match the right side, then the edges of the incision would have to border normal skin. 
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Areolar Reduction Scar Considerations

The best incision for areola reduction would be at the edge of the areola when finished. If for any reason you feel a concern because of poor color match then a camouflage tattoo can be performed to match the scar to your existing areola color.
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Areola reductions

Areola reductions leave the scar along the border of the areola and the breast skin.  The scar usually heals quite well.
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Reduce the areola.

The scar has to be on the edge of the areola in order to reduce the size. Any scar inside the areola will keep the outer rim the same size.
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Surgical options for breast asymmetry

For the average woman between 5 and 6 feet tall the desired breast proportions are that the nipples form an equilateral triangle with the upper notch of the breast bone and each side of the triangle is about 20cm in length. Additionally the distance between each nipple and the fold under the breast should be about 7cm with a gentle curve outline along the bottom of each breast. The breast tissue should also be centered under the nipples in the positions described. Together with equal... more

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