Can something be done about my extremely big areola? 25F, & they continue to grow (Photo)

Question

Can something be done about my areola , they have continued to grow in size I am 25F, I want a reduction?

Daniel Barrett, MD · Answer

Dear allisonpham,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from areola reduction. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ali Sajjadian, MD, FACS · Answer

Thanks allisonpham for your question! You have every right to be worried, particularly if you're seeing changes that seem to be getting worse. Even while it's normal for areola sizes to differ greatly from person to person, feeling as though they're "extremely big" or constantly increasing might have an effect on how you feel about your body.
Although your body is usually done with puberty by the age of 25, a number of circumstances, including changes in weight, hormones, and, of course, genetics factors, can trigger areolar growth.
The most popular and successful treatment is a surgical technique called areola reduction, which involves cinching the remaining skin together after removing a "donut"-shaped segment of pigmented skin.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question and photos. It is a bit difficult to say without an exam or measurements. It sounds like you want the nipple areola complex (NAC), to be smaller. Yes, I think that you can have this done. You may also benefit from the breast lift, or a reduction. Each of the lifting techniques typically will involve an incision line around the NAC, (areolar reduction). The amount of lifting typically will determine the incision lines, (scars). Examples of the types of incision lines are; Doughnut, Lollipop, Anchor. The scars typically look most red at 4 months, and then better at 10 months. With a breast lift, or reduction, you have the opportunity to make the NAC smaller. Most women want the NAC to be about 4 cm in diameter. Best to talk with your Board Certified Plastic Surgeon. Together you can make a plan that suits you best.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Ira H. Rex III, MD · Answer

in the normal course of a breast reduction, the areola are usually narrowed. Sometimes, when they are too wide, they may have to be revised with a very small procedure under local anesthesia, to remove any extra outline pigment. this is done usually after about six months or a year from the original surgery.

John L. Burns Jr., MD · Answer

You would benefit from having an areola reduction.  The areola should be about 1/3 the base diameter of the breast.

Ronald J. Edelson, MD · Answer

If you have a breast reduction the areolae will be reduced as part of the standard breast reduction. Normal diameter would be 4 centimeters

William Aiello, MD · Answer

Hi!

Yes, something can definitely be done for your nipple areola complex size. You need a reduction in the size that can easily be performed. If you have any other questions or wish to change anything else on your breast Then we are more than happy to help!

Camille Cash, MD · Answer

Yes, the size of your areola can be reduced with a circular incision around the areola. Future changes to the breasts such as with pregnancy and breastfeeding can impact the results of surgery.  See a board certified plastic surgeon near you to learn more.

Kenneth R. Francis, MD, FACS · Answer

Dear Allisonpham,
Yes, you would be a candidate for an areola reduction procedure with a "donut" removal of areolar tissue.  Alternatively, a breast lift or breast reduction will provide smaller areolae as well.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for and examination and discussion of your options.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Areola reduction is certainly possible. The amount of skin that can be removed depends on a few different variables. The most aggressive, areola reduction is typically done in conjunction with a breast lift. If a breast lift is not indicated that the amount of skin that can be removed is more limited. attempt at removing too much skin can cause undesirable, secondary side effects or complications. This includes stretching of the scars and re-widening of the areola.
To make a better assessment, we could use better quality pictures. What we really need is pictures with you standing up to see if the lift is also indicated which would make areola reduction a little more straightforward.
There is some subjectivity to the degree or how much reduction can be achieved. I suggest having a few in person, consultations with plastic surgeons in your community to get a more accurate assessment, and better understanding of treatment options, including what can and cannot be achieved with surgical intervention.
An overly aggressive, areola reduction leading to bats confirmation may in the end not be appropriate or worth it.
If the nipple position is quite low in comparison to the inframammary fold, and a full breast lift is clearly indicated, then the procedure becomes fairly simple.
Best,
Mats Hagstrom, MD

Can something be done about my extremely big areola? 25F, & they continue to grow (Photo)

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