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.

 Case 1

 

EXPECTATIONS

LENGTH

30 - 60 minutes

ANESTHESIA

Usually local unless combined with another procedure such as breast augmentation

IN/OUTPATIENT

Outpatient

SIDE EFFECTS

Temporary swelling, bruising, and some pain

RISKS

Pain, bleeding, infection, asymmetry, sensory changes in the nipple, recurrence of areolar enlargement

RECOVERY

Back to work: 1 day
More strenuous activity: 1 weeks

FINAL APPEARANCE

1 months for swelling to completely resolve

DURATION OF RESULTS

Permanent