Nipple/Areolar Reduction
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.
Patient Focus 1
Procedures: Implant exchange, capsulectomy, periareolar mastopexy with areola reduction
Expectations
Anesthesia: General or local conscious sedation
In/Outpatient: Outpatient
Side Effects: Temporary swelling, mild bruising and some pain
Risks: Pain, bleeding, infection, asymmetry, changes in nipple sensation, widening of the areola over time
Recovery: Back to work: 2 days to 1 week. More strenuous activity: 1 - 3 weeks
Final Appearance: 4 - 6 weeks
Duration of Results: Permanent but gravitational and age related changes will occur