Combining Breast Lift and Areola Reduction?

When I perform a breast lift I typically decrease the diameter of enlarged areolas. It improves the proportions of the breast to achieve a more ideal shape.  Almost all patients maintain nipple sensation.

         It’s not unusual for
patients with breast sag to request breast lift surgery. A variety of surgical
options exist for managing this condition. The vast majority of these
procedures not only lift the breast, but reduce the areola as well.

 

         In cases of mild
breast sag, the excess skin and sag can be treated with a donut mastopexy. This
procedure removes and tightens the excess skin around the areola. This leaves a
scar at the junction between the areola and surrounding tissue.

 

         In more severe cases
of sag; a lollipop incision can be utilized to deal with the excess skin. This
leaves a circular incision around the areola with a vertical extension that
extends to the infra mammary fold.

 

         When extreme sag is
present, excision of excess skin requires not only a vertical incision, but an
incision transversely in the infra mammary fold as well. This results in a
circular incision around the areola, a vertical incision, and a transverse
incision hidden in the folds beneath the breasts.

 

         The vast majority of
patients who undergo breast lift surgery are happy with their result. Scarring
is unavoidable, but in most cases is acceptable to the patient. Decreased
nipple areola sensation can occur, but is fortunately uncommon.

 

         If you’re
considering breast lift with areola reduction, consultation with a board
certified plastic surgeon is appropriate. This surgeon should be able to help
you formulate a treatment plan that will solve your problem.