I have no complaint with the size/perkiness of my breasts. I am 23 and wear a 36C/D bra. However, I am EXTREMELY unhappy with my enormous areolas. They disgust me and make me ashamed to bear my breasts. While my nipples are above the fold of my breast, the areola (about 2- 2 1/2 inches in diameter)stretches down to the base. I have read that I should wait until after having children, but I'm not sure if I ever want to have children. Even if I did, I would rather have attractive breasts at 23 than at 35+.
Should I Get Nipple Reduction Surgery?
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Yes, you may be a good candidate for areola reduction. Fortunately, this is a procedure that can often be done under local or general anesthesia.
You are wise to consider the scar that will result, around the areola. The appearance of the scar may range from a fine line to a wide/thick/raise scar (that may require scar revision surgery).
You should also consider other unfavorable sequelae resulting from this procedure. This may include asymmetric areola, loss or change of sensation, wound healing problems (possibly suture related), recurrence of the “spreading of the areola”, hypo or hyperpigmentation around the incision line, and potential changing/flattening of the breasts' profiles.
Please make sure you're working with a well experienced/board-certified plastic surgeon.
Areolar reduction surgery may help you
Please seek a personal consultation with a surgeon who is Certified by the American Board of Plastic Surgery. There may definitely be a procedure that will help you enjoy your breasts. Areolar reduction can be done, usually in the office under local anesthesia. If you need something more than that, you surgeon will certainly discusss that with you. Best of luck!
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You should consider areolar reduction surgery
Areolar reduction surgery is a very successful procedure. It can be performed alone or in combination with a breast augmentation and/or a breast lift. It will leave a patient with a fine circular scar around the areola. It will also produce a lifted result to the breast.
Options in nipple reduction surgery
Patients have many options in breast surgery. With different surgical technique, we can modify the shape size position and contour of the breast. If you only need to address the areola or the nipple, surgical techniques can be limited to this area of the breast alone. Small surgeries of the areola or nipple may be performed under local anesthesia as an outpatient or as an office procedure.
Sounds like you would be a good candidate for areola reduction surgery. This can be performed under local anesthesia, no need to go to sleep and is done as an outpatient.
It is a relatively simple procedure where a donut like area of your areola is remove (the most outer part) resulting in a smaller areola around 40-42 mm. The the outer skin is sutured to the new areola size with a special suture.
Hope that helps.
The areola should be approximately 40 to 45 mm in diameter to be aesthetic. The areola is prone to deformity and stretching from surgery and aging. I routinely am asked to perform areolar reduction in patients who have undergone a procedure known as a Benneli mastopexy by another surgeon. The procedure can be performed under local anesthesia and requires meticulous attention to detail in order to reproduce the aesthetic dimensions of the breast and nipple.
This is really not an uncommon request. The best way to see what your options are will be to met with a board-certified plastic sureon to go over your options. I often have patients send photos to me ahead of time and you can do that if you want depending where you live. My practice is in Las Vegas and you can send photos to firstname.lastname@example.org. If you are farther away, make sure that you see a board-certified plastic surgeon near you. I hope this helps.
Nipple reduction before childbearing
Get thee to a board certified plastic surgeon. You need to live your best life now. You sound like an ideal candidate for a breast and nipple lift. You should not be miserable because of your breasts. Most breast lift procedures don't interfere with breast feeding but even if it did, I would not put this off. We often do reductions on young women knowing that they will not be able to breast feed. Breast feeding, in my opinion as a mother of three children, is highly overrated.
Lisa Lynn Sowder, M.D.