What Causes Overstretched Areolas and How to Prevent Them when Getting Breast Implants if One Has Small Areolas?

The larger the implant, the larger the areolar will expand. Draw  circle on a balloon and blow it up. The circle will enlarge directly proportional to the amount of air in the balloon. This is a perfect analogy. If you have small areolar and want to keep them relatively small, be conservative with the implant size. Thank you for this interesting question.

Permanent stitches can be used to help prevent widening of the areolae after an augmentation.  However, despite this they still may stretch out.