Nipple Surgery: Q&A

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Should I Get Nipple Reduction Surgery?

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+.

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9 Doctor Answers | Asked by unsure86 in Boulder, CO

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Areolar reduction

So sorry to hear that the size of the areola distresses you. A reduction procedure limited to the areolae can be performed. Generally, I see large areolae in women whose breasts are large and saggy. You may also need a mastopexy to lift the breasts but it is advisable to see a board certified plastic surgeon to discuss your options.

Areola reduction?

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... more

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.

Enlarger Areolas

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.

Areola reduction

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.