Some women may be displeased with the size of their Areola which may be enlarged due to genetic predisposition, previously having had large breasts then undergoing tissue loss, stretching of the areola due to implants or other reasons. The areola reduction surgery is designed to remove the redundant areola tissue to improve the overall cosmetic appearance of enlarged Areola. The reduction may result in a slight lift and may also produce slight irregularities at the incision line if the reduction was significant.

  • Larger than desired areola
  • Incisions around areola
  • Excess areola tissue is removed, and a pedicle left.
  • Internal purse string sutures are made to help keep the areola and scar from stretching.
  • The incision is sutured.
  • The scar after areola reduction; may have raised tissue around areola which may or may not flatten in time.

If a larger donut of skin is removed from the flesh colored area the result is often called a peri-areolar reduction mastopexy (or Benelli Lift with reduction).

Areola reduction is often sought by many reduction mammoplasty patients as the areola can stretch out with volume gain. There can be puckering around the incisions and usually significant volume removal may be contraindicated with the peri-areolar incision.

This procedure is usually performed under local anestheasia & light sleep sedation.

The typical patient and preoperative features

  • Desire for a smaller diameter and rounder and more proportioned size of your Areola.
  • Reduction of the puffy or large or bulging Areola that you would like flatter.

The procedure

  • Anesthesia is usually a very light general and the procedure takes about two hours.
  • The procedure involves an incision around the areolar edge and a smaller incision with removal of the excess tissue in between, like a donut.
  • The incision is very inconspicuous and located around the final edge of the Areola.
  • Dressings and a light gauze bandage worn for several days.
  • This can be combined with other cosmetic surgical procedures.

The recovery

  • You can go home after several hours.
  • You can shower on the next day.
  • There is only minimal pain that is mostly gone by the second or third day and easily controlled by medications.
  • Minimal or no swelling is the usual.
  • Minimal or no bruising is the usual.
  • You can resume most activities in less than the first week.
  • The stitches are removed at seven days.
  • Expect to be off of work only two days or less.