Can I get a breast reduction with the same size areolas?

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

The areola size can be maintained in a breast reduction, if the patient desires that.  Many times the areola is very large and most patients want the areola size reduced.

Hi, the simple answer is yes. However, if the size of your areolas are very large they should be reduced in order to keep them in proportion with the smaller size of your breast. Normal size areolas will vary but a rule of thumb would be 38-45 mm diameter. You can imagine that if your areolas are 70-90 mm they will cover a major portion of your breast if not reduced. Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office, as in others, we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. The surgen can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. Good luck,Dr. PG

It is possible, however it will all depend on the your breast and areolar size and the extent of reduction. In other words, it is possible that not reducing the size of large areola, may hinder the results of the reduction. Photos would help. Be sure to consult with a board certified plastic surgeon who performs breast reduction on a routine basis and can show you many before and after photos that you find pleasing. Best wishes. Dr Sam Gershenbaum

We can keep the areola at the same size while reducing the size. We allways keep nipple and milk channels intact while reducing the breast size.

It depends on how big your areola are to start with. Generally, we tend to reduce the size of the areola to suit your reduced breasts, however we can keep the areola at the same size depending on how big they are at the moment. For optimal outcome please consult a board certified plastic surgeon. 

Although the areola size is usually changed with breast reduction, I have patients who wish to keep it the same size.  Ask your surgeon what is possible and be specific about what areola size you desire.

The technique I recommend is The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  Best Wishes,Gary Horndeski, M.D.

Thank you for your question.  It is hard to answer this question without an in person evaluation.  I would recommend seeing a Board Certified Plastic Surgeon and being examined.  Best of luck to you. 

Dear fefe1205,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery