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Areola / Nipple reduction surgery PDF Print E-mail

Overview:
 

Placement of nipple incision: small incisions on the nipple which heal very well
 

Areola incision: is around the perimeter of the areola
 

Anesthesia: local anesthesia only
 

Surgical facility: as outpatient at the clinic
 

Length of surgery: about an hour
 

Discomfort: minimal
 

What to expect after surgery: tenderness, swelling
 

Back to work: in 1 day
 

Risks: loss of sensation usually temporary, scarring, infection
 

Variations and techniques: nipples can be reduced from the end or by removing a section of outer skin from the base of the nipple
 

Duration of results: results are permanent

A large areola can be inherited or may be a result of stretching of the tissue from weight gain, breast implants, or pregnancy and breast feeding. Usually, the areola is reduced in conjunction with a Breast uplift or Breast reduction However if the breast tissue and nipple are in good position, and the areola itself is large, a simple areola reduction can be performed.

For the average sized breast (B to C cup), a desirable areola diameter is 4 to 5 centimeters. To be proportional, smaller breasts look better with smaller areolas, and vice versa. Areola reduction can be performed with local anesthesia since the surgery involves a small area and is only skin deep.

The planned, smaller areola is marked by drawing a circle around the areola. A template of the desired diameter (around 4.5cm, depending on the breast size) with a hole in the center is placed over the nipple, and an outline is made with a surgical marker. Then, a slightly larger circle is made outside of the first circle to mark the outer edge of the areola.

The surgeon will cut along the skin where the areola was marked at the inner and outer lines and remove the epidermis (top layer of skin) of areola tissue between the two concentric circles. Then the two remaining edges (where the lines were drawn) will be sewn back together, resulting in the smaller areola.