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

Question

I am a 38G/H and I am considering reduction surgery cause my breasts are now just feeling really heavy. Can you get a reduction without losing the shape and size of the areolas?

Kenneth Hughes, MD · Answer

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.

Urmen Desai, MD, MPH, FACS · Answer

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

Sam Gershenbaum, DO · Answer

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

Ajay Mahajan, MD, FRCS (Plast) · Answer

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.

John LoMonaco, MD, FACS · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Stephen T. Greenberg, MD, FACS · Answer

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.

Daniel Barrett, MD · Answer

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

Ross Blagg, MD · Answer

Hello, It depends how large your areolas are now. Typically they are reduced slightly to make them proportional to the smaller breasts but the size can be modified based on your preferences so be sure to express those to your surgeon. All the best,Dr. BlaggAustin, TX

Susan Buenaventura, MD, FACS · Answer

You absolutely can keep your areola the same size with breast reduction if you desire.  Many times the areola is large and is reduced in size to match the smaller breast, but this is a matter of aesthetics and whatever the patient prefers is the right answer.  You would still have a scar around the areola but none of the tissue needs to be removed.   I would discuss this with the surgeon and remind the surgeon of this the morning of surgery!   Best wishes to you.

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

Answers (16)

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