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.

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.

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Procedures: Periareolar Mastopexy with Areolar Reduction