I'm scheduled to have a breast lift. Is areola reduction necessary in my case? I'm not a fan of the "pepperoni" look. (photo)

Question

Will the doctor need to cut my areolas in order to do the procedure. Is there a way to reduce them without them looking hard/wrinkly/stitchy? Photos below. Thank you!

Jeff Angobaldo, MD · Answer

Thank you for submitting your question.  An incision around the areola must be performed for all breast lift and reduction surgeries.  The size of the areola can vary and it doe snot have to be reduced.  Discuss your concerns and areola size with your surgeon before surgery.  Best Wishes.

Ira H. Rex III, MD · Answer

An areolar reduction is an integral part of most breast lifts. An additional consideration is that there is often areolar spreading as the lift matures.

Jose Perez-Gurri, MD, FACS · Answer

A breast lift/ reduction includes reduction of the diameter of the areola. I don't know what you are referring to when state hard/wrinkly/sticky. Unless there are issues with healing the areolas should be round with minimal scarring. Good luck

Gary M. Horndeski, MD · Answer

Thank you for your question and photos.An incision around the areola is always necessary in any breast reduction technique. Please address your concerns with your PS prior to surgery.Best wishes.Gary Horndeski M.D.

Thomas Trevisani, MD · Answer

This would be best addressed with your operating surgeon. Areola reduction is part of the procedure and you can go over diameter options with your surgeon.

Martin Jugenburg, MD · Answer

If you are having a breast lift, you will have an incision (and scars) around the areola. Although it's normal to make the areolas smaller, if that's now what you want, let your surgeon know and he wont' try to reduce them.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. In order to perform your breast lift you will have to have an areola  reduction. The stitching initially appears wrinkly but typically this softens with time and produces a very nice result.

Mark Deutsch, MD, FACS · Answer

It is typical to perform areolar reduction with a breast lift or reduction. You can tell your surgeon your concerns and both of you can agree on how much areolar tissue you want preserved.

Brent Birely, MD · Answer

Technically, you could have a BL without areolar reduction. However you have to have an incision and therefore a scar around the outer edge of the areola post op, no matter what. Cannot lift the nipple without a scar around it. Pick your preference. You can keep things the way they are or you can have the lift with the anchor scar, unless you want to take a risk with a lollipop scar. Personally, I would not recommend a BL in a person with such large breast. The results will not last. You need a reduction to get a good, long lasting result.

Tom J. Pousti, MD · Answer

Typically, areola reduction is part of the breast lifting/reduction procedure. Discuss your preferences with your plastic surgeon prior to proceeding. Best wishes.

I'm scheduled to have a breast lift. Is areola reduction necessary in my case? I'm not a fan of the "pepperoni" look. (photo)

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