What are Medical Options for Unattractive Montgomery Glands?

Sometimes Montgomery glands can get enlarged, inflamed, or irritated. If there are a few particularly unsightly ones, they can usually be removed leaving only a tiny scar in the areola which is usually much less noticeable than the gland. This is a minor procedure that can be done in the office.

Thaks fo ryour question and sorry that you have these concerns. The simplest solution is to cut them out - this will leavea scar in place of the tubercle - but the scars are usually quite flat and therefore not as obvious.This can be done under a local anaesthetic and takes about 20 -30 minutes to carry out, depending on the number and size of the glands. Smaller glands dont even need stitches and can just be cauterised. They heal up quite well and are usually not obvious once healed.I hope this is of help to youBW

Montgomery glands are found in and around the periphery of the areola. They can range from flat to pronounced in their appearance. They are present in most areolae. When the are very large, or pigmented, they can become a focus of attention.

Like any cosmetic surgery, treatment depends on the benefits out weighing the risks. Removal would require surgical excision, like when a mole is removed. This leaves a scar, which can be good scar or a bad scar. Without pictures I cannot comment on whether the risks are worth the benefit. In other words, the risk of getting a scar that is as, or possibly even more, noticeable as your Montgomery glands must be considered before treatment is performed.

The best way to get an answer to your specific question is to see a Board Certified Plastic Surgeon in your area and get a consultation. 

Montgomery glands are fluid secreting glands within the areola.  The skin-surface portion of the glands are called Montgomery tubercles.  Therefore, it is normal to have these glands and tubercles.  However, in some women, the tubercles can be more prominent than in others.  If there are a few tubercles that are very large and you are bothered by their appearance, they can be excised with suturing of the small opening.  I would recommend consulting with a plastic surgeon who can perform a thorough physical examination and make more specific recommendations.
Ziyad Hammoudeh, MD

If the problem involves just a few unattractive Montgomery Glands they can be individually excised with just a small resultant scar.  If there are several Montgomery Glands which ring the nipple, then a doughnut shaped excision can be performed.  This procedure would result in a circular scar at the edge of the areola.