High areola after breast reduction

It sounds like you’ve been through a difficult experience with your breast reduction, and it's understandable that you're nervous about further surgery. Given that you have concerns about the high position of your areolas and the necrosis on your left breast, seeking additional consultations from experienced plastic surgeons is a wise approach. Many surgeons can offer solutions like resizing the areolas, addressing the necrotic tissue, and adjusting the height of the areolas by performing a breast lift, which can help reposition the breast mound and the nipple. Surgical intervention may be necessary to achieve the desired outcome, and it's essential to discuss your options with multiple experts to find the best plan for your situation.


Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained
Aesthetic Plastic Surgeon
New York, New York

You did not post photos, so I cannot be specific. However, many times only the underneath incision needs to be used to take out excess tissue and especially the skin. Many times the nipples are actually in the correct position, but the breasts have sagged. The scar can be revised at the same time.

I would recommend getting a few opinions from different plastic surgeons for how you could best tackle this problem. You could definitely have the areolas re-sized and have the area which was necrotic addressed, and it may be possible to adjust the height of the nipples on the breast mound. Having a breast lift to change the shape of the breast mound, and therefore where the nipple sits on the mound may be your best option.