Why are my nipples not round after surgery? How can I fix them? (Photos)

Most doctors use a round cookie cutter to mark this but it still does not always come out round. A revision in the office may be all you need to improve this. Good luck!

Weight loss can alter the appearance of the breast unpredictable ways. The loss of volume will affect shape and can ultimately distort the appearance of the NAC.

While restoration of volume can sometimes correct the changes associated with weight loss, however, there are no guarantees.

Ultimately you do have options including revision mastopexy with the aim of addressing the areolar changes.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your inquiry! The size of the implant can stretch the skin and the areola. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Dear RookieRookshire,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Surgery that targets the shape of your areola would be more suitable, as breast augmentation is more for increasing the size of the breasts rather than correcting issues related to the areola.

Thank you for your photos. It’s important to understand that areola are not perfectly round normally. The irregularities in the roundness of your areolar are likely secondary to your breast reduction and a breast augmentation could not be expected to correct this. However, you could have a revision of your periareolar incision to try to achieve more roundness. This could be done under local anesthesia alone with a very quick recovery.

Correction of shape and size of areola can be achieved in local anesthesia. One or both areolas can be treated this way to achieve desired symmetry. Good luck.

It seems you have a very nice result and excellent scarring. The areola becomes elongated from the pull in the downward direction. This can be improved by cutting around the areola again and stitching it so that it becomes more round. This is called an areolar reduction or donut mastopexy. This is usually done under general anesthesia or sedation.

It would be a rather simple procedure, but it would require surgery. The areola can be reshaped to be more round. Discuss this with your surgeon, it is a rather easy fix and can be performed under local anesthesia in most cases.

Hope that helps.

Hi, good question. This is a pretty common outcome after any reduction or lift and even happens without the significant weight loss you mentioned. A lot of it has to do with the way the skin incisions were designed and how much lift was required during the reduction. There are other variable during the healing process as well, such as swelling and tension differentials at different points around the circle. We try to distribute these forces equally but there are a lot of variable throughout the surgery and healing process. The good news is you actually have a relatively good shape to the areola that can typically be fixed with a small scar revision under local anesthesia in the office. It may be worth the revision, but remember, most natural nipples and areolas are not perfectly round to start with