Aerola Reduction Surgery with Problems

Hi, I had an aerola reduction surgery 1 year ago and after few months the stitches hadn't disappeared and the doctor had to remove them manually. After that, the aerola has been leaking. The leakage is just around the nipples, the liquid is clear but "sticky" and there's no pain. The doctor gives me a cream and after using it, it stops leaking for a couple of weeks and it starts all over again. Any suggestions? What to do? What can be wrong?

Doctor Answers 3

Areolar reduction problems

Dear Goforit,

I have done a lot of these surgeries and I believe I can tell you what is your issue. Most of the time there is a permanent suture used to sew the areolar down to smaller size. We call this a "purse string" suture. It is often permanent. You can tell if you feel a "ring" that is a smaller diameter than your now natural areola. If this becomes infected, then the problem becomes what you describe. It is easy to remove in the office. I use dissolvable sutures for this reason.

Let me know if this helps.


Dr. Romano

San Francisco Plastic Surgeon
4.9 out of 5 stars 13 reviews

Areola Reduction Problems

Thank you for the question.

Based on your description and the fact that you are over one year out of surgery, I think you are probably dealing with an issue with permanent sutures. I would suggest continued follow-up with your surgeon as  further removal of the sutures may be necessary to resolve the problem. 

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Areola issues

It is likely that you may have one of two issues. If a permanent sture is used, it may be contaminated with bacteria, which lives in the duct system of the nipple and areola. Secondly, it is possible that you may have a cyst within the areolar tissues, as these are glandular tissues that can develop cysts in any woman's breasts. You should be evaluated by your surgeon as soon as possible.

William Loutfy, MD
Albuquerque Plastic Surgeon
4.7 out of 5 stars 20 reviews

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.