Many women contemplating having breast augmentation, breast reduction, or a breast lift, are often times concerned about the look of their nipples and areolas. Some women have nipples that are inverted, or turned inward. Some women feel their nipples have too much projection. Some are concerned that their areolas are too puffy, wide or too big. Most all concerns have a solution.
What many women refer to as “the nipple” is actually made of two parts: the areola and the nipple. The nipple is the portion that projects in the center of the areola, and the areola is the darker pigmented skin that surrounds the nipple.
Large areolas may look disproportioned with the rest of the entire breast. This disproportion may be genetic/hereditary, or if the patient has had a breast reduction or breast lift. Often times, a woman’s areola and nipple can have changes after childbirth.
Since there are no medical complications or concerns from having large areolas, the desire to reduce the areola size is purely aesthetic, but can really increase a patient’s self-esteem and body image. Areola reductions are performed by both Dr. Layke and Dr. Danielpour , in our fully accredited outpatient surgery center here in Beverly Hills and can be performed under local anesthesia. The surgery usually takes less than one hour and the patient can return to their normal activities within a day or two. Sensitivity of the breast usually remains the same, and all steps are taken to sustain the patient’s ability to breastfeed.
Enlarged Areolas Surgically Reduced
All areola reductions begin with an exam to establish the best options to achieve the desired outcome. Areola Reduction Surgery is achieved by removing some of the pigmented areola, either by an incision around the outside of the areola or by an incision around the base of the nipple. Very large areolas may require a lollypop-shaped closure. This is where a vertical incision runs down from the nipple as well as around the areola and then is closed in the shape of a lollypop.
The objective is to minimize scarring and this is achieved by performing the smallest incision necessary. Absorbable sutures are typically placed underneath the skin. These eliminate the need to come back into the office for suture removal.
Recovery time will depend on the patient, but most patients can return to work and resume their normal activity within a day or two.
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