How do you get consistency of nipple circumference post mastopexy procedure?

My procedure was a circumareolar breast augmentation with mastoplexy. One areola is now significantly larger than the other one. Am I able to ask the plastic surgeon to redo the large one to make it tighter or is cosmetically tattooing them an option?

Doctor Answers 5

Areolar circumference

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Hi White Haute

The change in areolar circumference is a fairly normal outcome from breast augmentation, but the choice of a a circumareolar mastopexy at the same time has tipped the odds of asymmetry against you.

Once your breast swelling has gone (6-12 months), redoing the areolar diameter is a reasonable option - depending on the difference in sizing, it might be safer to do both at the same time. There are techniques that can be employed to make the circumference/diameter less likely to stretch out - but like all things, there can be downsides to these options as well.

Good Luck

Dr Gavin Sandercoe

Asymmetric areola after augmetation/ mastopexy

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 Larger areola can be reduced with cicumareolar mastopexy under local anaesthesia. Better to wait for 6 month  befor going for revision sugery for better out come  and reduce post operative streching of areola

Areola stretched after implant and a lift

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There are many factors which can contribute to preventing or treating what you describe including a patients tissue quality and surgeon technique. Indeed the fact that the breast is made larger puts an element of stretch on the areola.  Some surgeon use some type of permanent suture in a circle around the edges of the areola which can help prevent that from occurring, but even that cannot guarantee one, or both from stretching out again.  However, in my experience re-doing it without this suture will most likely lead to the same thing happening.  As far as tattooing, I couldn't recommend NOT doing this any stronger.  That may look good short term, but in time, you will wish you hadn't.

Eric Mariotti, MD
Walnut Creek Plastic Surgeon

Areolar consistency after mastopexy

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The size of areola usually becomes larger after a circumareolar mastopexy with implant placement because of the tension the implant applies to the areola.  In general, it will stabilize at a certain point.  In your case, if one areola is a lot larger than the other, you may have reduction but expect that the areolar will become larger afterward.  It may be difficult to achieve symmetry.  


Alex Kim, MD

Alex Kim, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 25 reviews

Areolar asymmetry

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You likely will need revision surgery to decrease the size of the larger areola. Discuss this in detail with your plastic surgeon. It can usually be done under local anesthesia.

Best wishes,

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.