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Large Puffy Areolas, What Should I Do? (photo)

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Brygida1Mar 15, 2013

I'm 20 years old and the older I am getting the larger my areola is becoming. I'm not happy with the pointy shape, the largeness and the overall appearance. When I wear bras sometimes my nipples come out and I feel very self conscious. They only have a 'normal' appearence when I'm extremely cold, not during arousal however. What type of surgery would I be looking at to make my nipples more less puffier appealing?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Matthew Schulman, MD
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Dr. Matthew Schulman, MD
Board Certified Plastic Surgeon
4.7 | 424 Reviews
Answered on Mar 17, 2013
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Dr. Darryl J. Blinski, MD
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Mar 18, 2013
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1 person found this helpful
Dr. Tom J. Pousti, MD
Dr. Tom J. Pousti, MD
Board Certified Plastic Surgeon
Answered on Mar 17, 2013
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Rodger Shortt, FRCSC

Accessory breast tissue and nipples are very common.  For many women (and men) they don't even realize that they have polythelia as the supernumerary nipple may look like a mole.  I would advise against any topical treatment and suggest you see a reputable plastic surgeon in your area....

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Edwin C. Pound, III, MD

There are lots of procedures that can improve the size and appearance of the nipple and the areola.  It would probably be easier to make the bigger nipple smaller than to make the smaller one bigger.  When you see a plastic surgeon who can examine you then perhaps he can be more...

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Michelle Spring, MD, FACS

Our breasts are not mirror images of each other, but certain nipple and areola asymmetries can be corrected or improved.   I would recommend seeing a plastic surgeon who does a lot of breast and nipple surgery to learn about the options and get advice.

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Lewis Albert Andres, MD

I am glad to hear that you are nearly completed with your breast reconstruction, but sorry to hear of your concerns.  It is common to have some shrinkage of the newly reconstructed nipple - typically between 30-50% of the immediate postoperative size.  I would continue to wait a few...

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Edwin C. Pound, III, MD

I am going to jump on the bandwagon with the other responding doctors here and advocate that you don't do anything.  You have a very natural shape to your breasts.  A slight protrusion of the nipple is a healthy, youthful look.  Anything that you might do to change this might be...

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Larry S. Nichter, MD, MS, FACS

Your problem  is more common than you think but usually affects women with overly large breasts not smaller ones. Occasionally reducing the size of very large breasts can restore this function but not usually (see link). .Having no erotic sensation of the nipple prior to your breast...

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