A large areola
on the breast might be from genetics or hereditary or it could have
come from a results of stretching of the tissue from weight gain,
pregnancy and breastfeeding. The procedures of a breast lift
or a breast reduction usually incorporate this in conjunction of the
actual surgery. But a simple areola reduction can be done by
itself if the breast and the nipple are in good condition.
diameter on an average
size breast (between a B and a C cup) is
usually no larger than 4 to 5 centimeters. Smaller breasts do
look aesthetically better with smaller areolas. And larger
breasts look better with slightly larger areolas. This
procedure can be done as an outpatient under just local or twilight
anesthesia because the surgery itself only actually involves going
skin deep. If the patient prefers to have general anesthesia
for this procedure, then this can be used as well.
is intended to remove the excess areola tissue. This will
allow an improvement to the overall aesthetic appearance of the
areola. Like with any surgeries to the breast, you will have some
scarring, however the areola area normally heals exceptionally well.
The reduction itself may give the breast mound an actual lift,
however you need to be aware that some irregularities can occur at
the incision line because of the purse string suture method and or
if the reduction of the areola was significant.
consists of the surgeon making two concentric circles on the actual
areola complex, around the edges. This portion of tissue and
epidermis is removed; however the area around the nipple is left
undisturbed. A pedicle is left and internal purse string
sutures are used to keep the areola from stretching.
the entire procedure the nipple is still attached to its blood
supply and to the milk ducts. Sutures are used to close the
incision and eventually with time, the scar will heal to a thin
white line. The sutures usually remain for 7 – 10 days post
operatively. Once the sutures are removed, you might see some
puckering around the edges from the purse string method. Most
of the time, this puckering/rippling will go away with time.
is similar in a way to the
procedure, however with the actual Benelli, the surgeon is actually
removing some of the breast tissue so that the areola will have a
higher position on the breast mound.
itself will leave a scar around the outer rim of the areola.
Sometimes scars can cause “hypo-pigmentation" to occur, which is a
loss of actual skin pigmentation. Some patients have used
tattooing pigment to the lightened areas so that the scar will
become camouflaged. Trying to use micro-pigmentation to areas
involved with scar tissue can sometimes be problematic, as the
pigment doesn’t want to take in those areas. However, an
experienced micro-pigmentation specialist will be able to handle
most cases successfully.
will probably tell you to take things easy for a few weeks; and to
refrain from picking up or moving anything more than 5 – 10 lbs. for
the first 6 weeks. This is suggested so that the areola will
not stretch back out again, and that you will have complete success
with your repair. Areola reduction surgery is permanent
solution to oversized areolas.