Do I need general anaesthesia when getting areola reduction and nipple reduction?

Thank you for your question about this particular component of #breast surgery.Unless I am performing a breast reduction or a breast lift (mastopexy) at the same time, which are often done under general anesthesia, I only perform my areolar and nipple surgery under local anesthesia; very occasionally, a patient is very nervous and I will offer oral or intravenous sedation.It is very simple to anesthetize both areolae and both nipples with very minimal (and quick) discomfort, after which you will feel no pain.  I use normally a combination of short (lidocaine) and long-acting (marcaine) local anesthetics so you are pain-free for several hours.It is likely safer to have it done under local anesthesia, whenever it is feasible.You may read my blog on areola and nipples for more information.Hope this reassures you.All the best,#DrMarcDuPere, #Toronto board-cerfitied plastic surgeon

General anesthesia is not always required for areola reduction/nipple reduction. It depends on the surgeon's preferences and the details of the patient's concerns. It can sometimes be done in the office surgical suite with local anesthesia and potentially another medication to keep you relaxed.

Thank you for the question. Local anesthesia is certainly an option for most patients undergoing these procedures. Select your plastic surgeon carefully, communicate your goals carefully, and learn about the pros/cons/risks/competitions associated with the procedures you are considering. You may find the attached link helpful to you as well. Best wishes.