Areola reduction worth it?

Question

My boobs have changed so much after kids. My question is is it worth it to get it? I just want an areola reduction only, but have heard of stories saying they stretched out again after. I do not want to do the surgery if that’s the case. Doctors have recommended a donut lift. What’s the difference between permanent & dissolving stitches? I’ve heard it you get dissolving stitches they need to make areola a smaller because of stretching.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question. It is a bit difficult to say without an exam or measurements. That being said, it sounds like you may like the nipple areola complex (NAC), to be higher. The amount of lifting typically will determine the incision lines, (scars). Examples of the types of incision lines are; Doughnut, Lollipop, Anchor. Each of the lifting techniques typically will involve an incision line around the NAC. The scars typically look most red at 4 months, and then better at 10 months. With a breast lift, you have the opportunity to make the NAC smaller. Most women want it to be about 4 cm in diameter.

Typically, absorbable sutures will be used under the skin.  Also, it is typical for a permanent suture to be placed under the skin around the NAC to prevent spreading that may occur in the post operative period.  Best to talk with your Board Certified Plastic Surgeon. Together you will make a plan.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Daniel Barrett, MD · Answer

Dear Aguileraaguileraaguilera,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

There is a risk of the areola stretching again after a reduction.  Based on the photo provided you are a better candidate for a breast lift which would include an areola reduction.  It would also raise the position of the nipple and remove excess skin.  If you elected an areola reduction only there could be restretching of the tissue due to the weight of the breast.  See a board certified plastic surgeon near you to learn more.

Connie Hiers, MD, FACS · Answer

You would do much better and have longer results with a lift. Just trying to reduce the areolae will cause them to stretch again over time, but in an uneven way. Don't do the areola reduction only.

Areola reduction worth it?

Answers (4)