Uneven Areola Diameters. What Are My Options?

Surgically reducing the size of your areolar will lead to a lifting of the breast on the side on which you reduce the areolar.  When skin is excised from a breast in a large circle, as in a donut or circumareolar mastopexy, the removal of skin (areolar is just colored skin), leads to an elevation of the entire breast.  This may make the two breasts asymmetrical as to shape and position. 

 

You would need a consultation with a Board Certified Plastic Surgeon to determine which technique to use; however, one way to avoid a potentially unwanted lift, is to decrease your areolar by tattooing in skin pigment.  All big cities have excellent medical tattooists, and this may be the least invasive way to accomplish your goal and potentially have the least, unwanted side effects. 

Thank you for the question.

Areola reduction  involves  circumferentially removing areola  skin  around a smaller areola design. This procedure can be done under local or general anesthesia. It is often  done as part of a brest augmenation/lift,  breast lift or  breast reduction  procedure, but can be done as a stand alone procedure.

You should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented).  Some areola  asymmetry may also  be present after surgery.   Their  is  a small chance that you may lose sensation.
As with all plastic surgical procedures, you must weigh the potential benefits against the potential risks/complications  while making these decisions.

I hope this helps.

The diameter of an areola can be reduced with a surgical procedure. However you will have a permanent scar.