Fixing Different-sized Nipples

Hi. I recently posted a question about lifting my left breast and reducing the areola size but after receiving some wonderful answers (thank you!!!) I think I may just want to reduce the nipple circumference and avoid a lift. My questions: is my left areola a good candidate to be reduced in circumference to match the right? Can the scar be made inside the diameter of the nipple so it can keep a "soft" edge that it has now? Can this be done under local anesthetic? Thank you so much!

Doctor Answers 2

Areola reduction

I would not suggest an incision inside the areola because the scar  tends  to be more noticeable in that location. Yes, the procedure can be done under local anesthesia.

In considering whether to have this procedure done you should be aware of the potential downsides.It is important to know, for example that the areola scar will always be noticeable (some more than others). This may be because the scar heals with too much or too little pigment or because the scar is raised. You should also be aware, that areola reduction surgery does carry other risks such as spreading of the areola, asymmetry, shape irregularity etc. in order to avoid disappointment, it behooves you to be aware of the worse case scenario and, armed with that information decide whether to proceed with the procedure or not.

I hope this helps.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Reducing areola and nipple circumference without a scar.

Creating a scar inside the areola will likely leave a pale or hypopigmented scar and is generally not advisable.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 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.