Nipple and Areola Reduction

The breasts are a central point of a woman’s body and a source of cosmetic concern for many women. One common issue for women (and some men) is a disproportionately large areola and nipple that can interfere with the appearance of the breast overall. Although people do not tend to discuss these issues as often as the size or shape of the breasts, when the nipple and areola are enlarged, it can significantly impact a woman’s self-confidence in her body. Fortunately, there are procedures available to correct this problem and bring harmony to the look of the breasts. Dr. Barrett offers nipple and areola reduction for this purpose, which can be performed on an outpatient basis and tailored to the unique concerns of each patient for a naturally beautiful result.

From Dr. Barrett

“An enlarged areola or nipple, either from birth or after breastfeeding, can drastically alter the cosmetic appearance and proportion of the breast. The breast size may be normal, but if the areola and/or nipple is too large, it can be distracting from the overall aesthetic. Any incisions on this delicate area need to be meticulously closed to prevent any noticeable scarring.

What is Nipple and Areola Reduction?

Dr. Barrett performs nipple reduction to correct nipples that are disproportionately large or long or nipples that tend to droop. He can also bring balance and symmetry to nipples that are different sizes or shapes. The procedure is available to both men and women, since both genders may experience self-consciousness about their bodies due to the size, shape or appearance of the nipples.

Areola reduction surgery is another cosmetic option designed for men and women to correct enlarged, puffy or asymmetrical areolas. For some, the enlargement may be due to a somewhat familiar congenital issue. Others may see changes occur to the size of the areolas over time, due to factors like pregnancy and breastfeeding. In either case, the increased size can cause embarrassment, self-esteem issues and even prevent proper breastfeeding. Fortunately, Dr. Barrett offers a quick, outpatient procedure to correct both the nipples and the areolas and leave you with marvelous results.

Is Nipple and Areola Reduction Right for You?

While there isn’t necessarily an “ideal” candidate for nipple and areola reduction surgery, most of the men and women that come to Dr. Barrett for this procedure have some of the following complaints:

  • Dissatisfaction related to breast appearance
  • Poor cosmetic results from previous surgery
  • Excessively large areolas
  • Nipples that are large or tend to droop
  • Changes to the nipples and areolas due to pregnancy and breastfeeding

Nipple and areola reduction can be performed as a stand-alone procedure, or it can be combined with other types of breast enhancement such as augmentation, a lift or breast reduction.

Making Your Choice in Plastic Surgeons

While nipple and areola reduction may appear to be a straightforward procedure, there is some artistry involved in creating a naturally beautiful look. In the hands of an inexperienced surgeon, you may develop scar tissue and other potential issues. Revision nipple surgery is much more complicated than correcting a concern the first time around, which is why your selection of a surgeon is so vital.

You want to choose a plastic surgeon with extensive experience in all types of breast enhancement, who will also take the time with you to ensure your expectations and goals are met. Dr. Barrett chooses to see fewer patients on a daily basis so that he can spend ample time with each one. Rest assured that when you select Dr. Barrett for your nipple and areola reduction, you will receive personalized, expert care and the best possible outcome from your procedure.

Preparing for Your Surgery

Nipple and areola reduction may be less invasive than other types of breast enhancement, but you can still take steps to ensure a positive experience and outcome before the day of your procedure. Some of the post-operative instructions Dr. Barrett might give you will include:

  • Stop smoking at least 6 weeks before and after surgery to maintain healthy blood flow and minimize complications
  • Do not take medications or supplements before your procedure that could affect bleeding, such as anti-inflammatories, vitamin E and fish oil
  • Take the recommended time off work and other activities to give your body sufficient time to heal
  • Fill prescriptions before your surgery, so they are ready for you after your procedure

Other instructions may also be provided based on your specific situation. Follow all those instructions carefully to maximize your odds of safe and successful surgery.

Procedure Overview

Dr. Barrett typically performs nipple and areola reduction using local anesthesia to minimize risks and speed up the recovery process. This procedure is often combined with other breast procedures such as augmentation or breast lift which can be done under general anesthesia.  If his focus is nipple reduction, an incision is often made within the nipple to shorten the nipple or create a narrower circumference. The incision will not leave noticeable scarring behind afterward. In some cases, breast tissue may be removed from the undersurface to enhance the results, but this can be done through the same incision in most cases.

If the areola is also addressed, Dr. Barrett will create a donut-shaped ring around the areola and remove the skin in between. He can then close this gap by connecting the outer and inner rings via circular incision stitching. By planting the stitches around the areola’s natural border, Dr. Barrett can minimize noticeable scarring after the procedure. Suturing techniques are also used to create a smoother healing process and reduce visible scarring later.

After Nipple and Areola Reduction

The recovery process after nipple and areola reduction Is relatively quick and comfortable, lasting just one to three days. Some minor swelling and bruising can occur, but any discomfort can be easily controlled with over-the-counter pain medication. Patients can usually resume daily activity within a day or two following their procedure. Dr. Barrett will give you instructions on how to care for your treated area and reduce any complications after the surgery.

Proportionate Results that Last

Nipple and areola reduction are straightforward procedures that can be accomplished in just an hour or two and provide a lifetime of improvement in the appearance of the breast. Dr. Barrett is an expert in all types of breast enhancement techniques, so he is qualified to customize your procedure to your precise needs and desired results. If you would like to learn more about your options in nipple and areola reduction, now is the time to schedule your consultation with Dr. Barrett. Contact Barrett Plastic Surgery today at 310-598-2648 to find out if this procedure is an excellent choice for you.

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