Enlargement of the nipple-areolar complex can occur at any time during development but is most common after pregnancy and breastfeeding. The pigmented area, areola, can stretch with pregnancy to a size which is out of proportion with the breast. While the average dimension is 1:3:9 (nipple:areola:breast) or 42 – 45 mm for the areola, the ideal appearance remains a very personal preference.
Areola reduction is generally done by removing a portion of the outer circle of pigment in a procedure known as a circumferential mastopexy. The resulting tightening of the skin will generally restore a more perky appearance to the breast in addition to correcting for areolar enlargement. Overly large nipples can become a very sensitive issue for many women as they can show through most clothing. The nipple can be reduced in both the diameter and projection to restore a more normal appearance.
30 - 60 minutes
Usually local unless combined with another procedure such as breast augmentation
Temporary swelling, bruising, and some pain
Pain, bleeding, infection, asymmetry, sensory changes in the nipple, recurrence of areolar enlargement
Back to work: 1 day
More strenuous activity: 1 weeks
1 months for swelling to completely resolve
DURATION OF RESULTS