Areola Reduction: Risky when Done a Second Time?

I have had a mini breast lift, with incision around the areolas, about 6 months ago. I find my areolas sitll pretty big for my bra size (areolas of 4,3mm for bra size 34-A). I would have liked to have them reduced to 3mm, but a surgeon told me there were more risks (skin necrosis, loss of sensibility, etc.) when doing an areola reduction for a second time. Is it really risky?

Doctor Answers 11

Areola Reduction: Risky when Done a Second Time?

Provided there was no significant sensory loss the first time, a second areolar reduction should pose no more threat than a first one. This revision would presumably be quite superficial--often not even the full thickness of the skin, and should not interfere with either blood supply nor innervation. 

I would comment that 3 cm is rather small for an areola even on an A cup breast.

Best wishes.

Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Secondary Areolar Reduction

     Make sure you know exactly what was done in the first procedure.  An operative report would be helpful.  However, usually these reductions can be done again.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Areola reduction

A revision of an areola reduction usually is OK. It is best to know exactly what was done the first time. 

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Repeat Areola Reduction and Risks?

As you know, every surgical procedure does carry some risk. Although is not possible to give you precise advice about your situation, it does not sound like the surgical procedure you are contemplating should be associated with significant risk of skin necrosis or loss of sensation.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,504 reviews

Secondary areolar reduction

Unless the first areolar reduction was done with an unusual technique, it should not be particularly risky to reduce them further.  This can usually be done in the office under a local anesthetic.  Best of luck.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 12 reviews

NO Risk

Reducing the size of your areola is a simple procedure that can usually be done with local anesthesia.  There is very little risk because you are removing superficial tissue and not interfering with the blood supply to the nipple and areola...sounds like your surgeon just doesn't want to do it!

Eric Sadeh, MD
Manhattan Plastic Surgeon
4.2 out of 5 stars 57 reviews

There is no risk

Areola reduction is not a risky procedure, it does not interfere with the blood flow or nerves to the area and should not have an 'increased' risk as compared to it being done the first time around.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 474 reviews

Secondary areolar reduction

Secondary surgery has an increased risk as opposed to a primary procedure. However, areolar reduction is a skin surgery and does not carry a high risk relatively as it does not reach the large blood vessels.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Areola reduction and risk

The reduction of the areola can be done as a skin excision, or as part of a breast lift or reduction.  Although there is always risk with additional surgery, it is unlikely that further skin reduction will give any significant risk. If you healed well the first time you will likely follow that same pattern. Make sure to ask if a purse-string closure is being used, as this prevents the spreading of the healing scar. Good Luck

Neil Gottlieb, MD
Philadelphia Plastic Surgeon
4.4 out of 5 stars 28 reviews

Areola Reduction: Risky when Done a Second Time?

Revisional breast surgery always carries increased risk

However,a circumareolar revision usually only involves removal of the outer layer of skin around the areolar without cutting any large blood vessels .

Close post operative observation should be done

Hilton Becker, MD
Boca Raton Plastic Surgeon
4.6 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.