What's a normal size to cut an areola down to during a mastopexy? I had lift and aug done and doc cut areola to 38mm. (Photo)

I was a full d before surgery. Areola was over 50 mm when erect as in the photo. I asked doc Not to cut them down. He said he needed to cut away some to even them out. 38mm is a big diff from 50 when they're erect. They're even bigger not erect. I hate small snipples. Is 38mm the standard size docs cut them down to? He said he normally cuts to a 36mm. That he gave me 2mm cause he knows I did not want them small. My boobs are a d to dd right now. One is bigger than other. 3 wks post op

Doctor Answers 6

Breast Lift with Implants - Areola Size

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Thank you for your question about recovery from breast lift with implants and areola size.

The two most common stencil-sizers used in surgery for areola are 38 mm and 42 mm. Sometimes, patients do not want the areola size reduced.  It is a personal choice if you want to leave them large. What I can say, is that areola do have a tendency to widen over time after breast lift with implants.  They probably won't stay at 38 mm.

For specific questions like this and about your recovery in general, it is best to speak directly with your doctor or doctor’s representative – such as his or her nurse, or the physician on call for the practice.

You will likely get many differing opinions from members of the RealSelf Community, but they have not physically seen or examined you. Nobody should know you or your unique set of circumstances better than your doctor.

If you feel you are not being listened to or you are doubting your doctor’s recommendations, then it is certainly within your rights to seek a second opinion and get the advice from another board certified physician. This should be done through an in-person consultation with a thorough evaluation, including a review of your history, review of all prior treatment and with a physical examination.

Obviously, if you think that you are having a medical emergency or other serious problem, you should call 911 and/or go to your nearest emergency room.

Best Wishes.

38- or 42-mm Diameter Areolae

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Dear Mommygal,
Most common sizes selected plastic surgeons are either a 38-mm or 42-mm diameter areola. Certainly that can be adjusted up or down depending on the preference of the patient. If after six months you are still unhappy with that the areolae could be enlarged modestly by taking a strip of normal skin circumferentially around both and stretching out the areolae a bit more. I hope this has been helpful. Robert D. Wilcox, MD

What's a normal size to cut an areola down to during a mastopexy? I had lift and aug done and doc cut areola to 38mm.

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Hello dear, thanks for your question and provided information as well.. The breasts may lose their elasticity and firmness which can be caused by different factors such as pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts and restore the natural look your surgeon can perform a mastopexy or breast lift. A breast lift restores a firmer, perkier, and more aesthetically pleasing shape to sagging breasts. This not only can improve a patient’s appearance by restoring her youthful, feminine proportions, but  also help bras and swimsuits fit more comfortably and attractively. By removing excess, stretched out skin, reshaping the breast tissue, and raising the nipple & areola into a more forward position, a cosmetic surgeon can create a more youthful breast contour. Stretched, large areolae can also be reduced during breast lift surgery, creating an overall better proportioned, natural looking breast, Actually the perkiness on a person or another, depends on patients skin and breast tissue..

Areola size

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is a personal choice... and almost universally, all areolas are diminished in size with mastopexies and breast reductions.  My own choices, if left to me are 4-4.5cm.  Patients can dictate larger sized if they want and the pattern is adjusted for this.  Now that you are post-op, all you can do is allow yourself to heal and see if your areola stretches out a little as it will to where it may be good enough.  Your mounds otherwise appear nice... sorry that the areola was made smaller than you wished for.

Breast lift result

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Overall you look like you have a nice breast shape. I regularly use either 38 or 42mm as my post op size depending on breast size. Most patients like these "smaller" aerola sizes. Your post op photo appears to have a lot of your areola covered up with steristrips, so wait till uncovered and rediscuss with your surgeon. Good luck.

They will stretch

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Hi mommygal,
38mm is very standard for size. But, areola skin is very stretchy and will probably stretch out due to the size of the implants in your breasts. Once the tissue heals and the scars soften, you're probably going to be really happy. Keep us posted.
Dr. Weintraub

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.