Areola Reduction with Autologous Fat Grafting?

I want an areolar reduction and breast augmentation but I'm concerned about the following; I have somewhat coarse hairs that sometimes cause ingrowns around my areola, and prominent milk ducts. Can the hairs be too deep and cause ingrowns under skin and will the milk ducts make it difficult to get my areolas as small as I'd like? Also, is fat grafting to the breasts a good idea to do at the same time? ( i do not want implants) And will I be able to breast feed in the future?

Doctor Answers 4

Areola reduction and fat grafting of breast

You certainly can have fat grafting to the breast at the same time as an areola reduction.  Hard to say whether or not ingrown hairs could be a problem.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

You can have themdone at the same time

Fat grafting and areola reduction can be done at the same time with good result if done properly. You should ask for pictures of the similar procedure and long term results. These procedures will not effect the breast feeding.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 124 reviews

Areola reduction / Fat grafting

Thank you for your question.

I think you can do both areola reduction and breast fat grafting in the same surgical procedure.

Ingrowth hairs or milk ducts, are not an obstacle/impediment for this surgery, but I'll consider laser hair removal of this hairs.

Good luck!

Enrique Etxeberria, MD
Spain Plastic Surgeon
5.0 out of 5 stars 7 reviews

Areola Reduction with Autologous Fat Grafting?

I don't think either of these two issues will have a complicating effect on your goals. 

Sometimes laser hair removal is a useful consideration for patients with problems with ingrown hairs. 

I assume you are taking about the Montgomery glands which are visible along the areolas. The ducts are limited to the nipple itself. These will not be an issue for the fat grafting nor the areolar reduction. 

It makes sense to do these procedures at the same time. Neither is likely to interfere with the ability to nurse. 

When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

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