Uneven areola & areola too big after reduction, is there anything I can do? (Photos)

Question

I had a reduction 1 year ago and I am very happy with the size, shape, nipple placement and scar healing. However, I am unhappy with one of my areolas (my right) as it is 5cm and my left is 4cm. It comes up higher and goes out further and it pokes out when wearing bikinis and some tops. We did not discuss Areola size before surgery as I barely had one before (pale), and I feel if they were smaller overall (350mm) I wouldn’t be as annoyed. I feel so ugly. Is there anything I can do? Are they ugly

Wayne I. Yamahata, MD · Answer

Your breasts are certainly not "ugly" and although not perfect, you have had a very good aesthetic outcome. Regarding the asymmetry, careful markings are placed prior to surgery and the symmetry is always very good at the end of the procedure. During the healing and maturation process the breasts will go through changes that are not always symmetric, resulting in differences when fully healed. Having said this, if you are truly unhappy, the breasts can be revised. Discuss your options with your surgeon.

Arif Eroglu, MD · Answer

Hello,
If you wish, an areola reduction can be performed again with local anesthesia. During this procedure, the areola sizes can also be made symmetrical.

Ronald J. Edelson, MD · Answer

You actually have an excellent result. The nipples can be resized if you like under local anesthesia

Joshua T Halka, MD · Answer

I think your surgeon did a great job with your reduction. You can always have your nipples downsized, but it is hard to predict how much they will stretch out after a revision, for the position of the nipples you would likely need to reduce the distance from the nipple to the fold under the breast on that side. The other side may need a similar procedure to have that done, it is hard to tell based on pictures exactly what would fix the things that bother you but there are definitely options

Kenneth R. Francis, MD, FACS · Answer

Dear rhuttonnnn,
From the photos, it certainly does not appear that you have a 1 cm difference in your areolar diameters.  It also appears that the second bikini cup is pulled more laterally than the right.  Regardless, your areolae can always be furthered reduced in size.  Return to your surgeon for options.  Good luck!

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