Areola / Nipple Reduction

An areola/nipple reduction surgery is an elective plastic surgery procedure, which helps to reduce the size of the areola/nipple area.

It is an extremely quick procedure and is usually considered by women who feel that their nipples are too big in relation to the size of their breasts. Breast augmentation surgery and breast reduction surgery has also become popular, therefore in some cases it is not the actual breast that needs reducing, it is the size of the nipple and/or areola.

The nipple ideally is located in the centre of the breast and is surrounded by the areola, which is the darker pink skin, which is in the shape of a circle. This surgery is not only for women, men also suffer with overly large nipples and larger than normal areola and this can lead to lack of self confidence, lack of self esteem and embarrassment.

Why have Areola (Nipple) Reduction Surgery?

Some individuals are affected so badly by the size of their nipples and areola area that they resort to becoming celibate. The good news for these individuals is that plastic surgeons have found a way in which to successfully reduce the size of the nipple and areola. Not only is it now a quick and simple procedure, it can have the individual ready to face the world, with new breasts and greater self-confidence.

Areola/nipple reduction is a surprisingly simple operation and is virtually risk free however, one should know that before having this surgery, that once the nipple and surrounding areola have been reduced, there is no way of reversing the procedure. It is therefore important to make sure that you have gone through all eventualities with your plastic surgeon prior to the operation. Nipple surgery is not usually performed on its own; it is often combined with other breast surgeries such as a breast lift, breast enhancement or breast reduction surgery.

There are quite a few different techniques for the procedure, so it really depends on the individual’s requirements as well as the surgeons’ preferences. The common technique is to remove some of the nipple and the surgeon stitching the slightly smaller nipple back to the breast using dissolvable stitches would then follow this. This would mean that no stitches would have to be removed.

If the individual requires an areola reduction, then the surgeon will remove either the outer part of the areola or the inner part and then stitch the wound to the required size. If the areola is too large, then there is a very special technique where by the surgeon makes the incision all around the areola as well as an incision from the nipple down the centre of the breast, part of the areola is removed and the breast is stitched back up again. The name of this technique is called ‘Lollipop technique’ as the incision forms the shape of a lollipop.

Some individuals find that due to the sheer weight of the large areola and nipples, this can cause the breasts to point downwards. However, for some, after having their nipple and areola reduced in size this tends to lift the breasts up a little, removing the need to have a breast lift.

Risks and Complications

Generally, modern day surgery is considered safe.

There are always risks associated with having surgery under a general anaesthetic. These risks include; suppressed breathing, blood clots in the legs, blood clots in the lungs, heart failure and even death. This will be discussed with you in your consultation and again just before you go down to your surgery. Approximately one-third of patients who receive an anaesthetic during surgery will experience “anaesthesia sickness” or post-operative nausea and vomiting (POVN).

The risks and complications associated with the nipple and areola reduction itself can include infection as a potential risk and complication, however it is extremely rare. Infection can usually be treated with a course of antibiotics.

The nipple area is the most sensitive part of the breast and one of the most sensitive parts of the body. When having this reduction surgery, this can cause the nerves to be damaged accidentally, which can lead to loss of sensation. Loss of sensation is pretty common; however it usually wears off after the wound has healed. There are however, some who never regain their feeling back in their nipples.

The ability to breastfeed can be affected by the procedure but this is rare, even if you have lost the feeling in your nipple.

Some individuals loose the pigment in their skin after the procedure. The pigment is what gives the areola that well-known colour change. Losing the colour of the nipple can be another complication when having this procedure.

In the worst cases, some men and women loose the blood flow to the nipple after having this surgery; this can result in the nipple turning black in colour and can even result in the nipple falling off. This is an extremely rare complication.

Q. How long will the results of this procedure last for?

A. The results of this procedure should be permanent; however there is no way of knowing for sure how the body will change in the future.

Q. Does smoking cause any issue when undergoing this procedure?

A. Smoking can slow down the healing process as well as affect your breathing whilst under general anaesthetic. Smoking can be extremely detrimental to not only your health but also the healing of your nipple reduction so the answer is not to smoke.

Q. Can I have the surgery under sedation and local anaesthetic?

A. Yes it is possible to have this surgery with a local anaesthetic and sedation however it really is up to your surgeon. Make sure that you discuss all of your options prior to having the surgery.

Q. Will my insurance cover my nipple/areola reduction surgery?

A. You will have to ask your insurance company as they all have different policies. Normally it is very unlikely for your insurance to pay for an elective plastic surgery.

Q. Will I have to stay in hospital after my nipple/areola surgery?

A. It depends on which form of anaesthesia you and your surgeon choose. If you have a general anaesthetic you may need to stay in hospital overnight for observation, to ensure no complications arise. If you have a local anaesthetic with sedation, if you recover fully, there is no reason why you cannot go home after the operation.

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Ultrasonic Rhinoplasty getting more precise results August 31, 2018 - Do you hate your nose? Is your nose the one part of your face that you feel is letting you down when it comes to looking your best? You’re not alone. Rhinoplasty or nose surgery is the third most popular surgery worldwide according to the American Society of Plastic Surgeons. Dr Vlad Milovic, Specialist Plastic Surgeon based in Melbourne and Canberra counts rhinoplasty as one of his specialties and is one of the first in Australia to embrace Ultrasonic Rhinoplasty, an innovative technique getting some excellent results. He chatted to us about why so many people want to change their nose and why nose surgery is so important to get right. Different noses for different faces A nose is not a one size fits all type of body part. Your nose has to fit your face. Dr Milovic says this is one of the most important parts of the assessment when identifying what type of nose is going to suit the patient. “I not only take the shape and proportions of your face into consideration but I also consider your ethnicity. Not everyone should have a Caucasian nose, or what is commonly referred to as the “ski jump” nose. I […]
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Dr Mark Vucak Rhinoplasty Rhinoplasty by Dr Mark Vucak, Plastic and Reconstructive Surgeon November 16, 2017 - Planning for Rhinoplasty is very important because we aim for the results to be permanent and to improve the aesthetics. The aim of this surgery is both functional and cosmetic, firstly to improve the breathing and nasal airway but also to achieve a good result with aesthetic lines. One of the important contours that we are looking for is a gentle curve including the eyebrow down through the top of the nose which is the nasal dorsum, to the tip. This should be a gradual arch rather then coming out and in repetitively. These days we like to fold the upper lateral cartilages in to add a little width to the middle of the dorsum. This can be done with a spreader flap or spreader graft. The upper lateral cartilages are in turned, making this area a little wider to blend to the contour of the gradual arch we are looking for. Traditional surgery cuts across these cartilages creating an inverted V deformity and breathing problems. When we retain the upper lateral cartilages and fold them in the breathing is better and the contour is much improved. Having the slight increase in width across the middle of the nose adds […]
Yvonne's rhinoplasty and otoplasty Yvonne’s Rhinoplasty and Otoplasty (Ear and Nose Surgery) with Dr William Mooney October 5, 2017 - For any of you considering ear surgery or nose surgery you’ve got to read Yvonne’s story. Yvonne had always been insecure about her ears, and after suffering a trauma to her nose also wanted a rhinoplasty. She chose Dr William Mooney from Bondi Junction in Sydney and couldn’t be happier with her results. My ears have always been an insecurity of mine. What I felt were protruding ears seriously affected my confidence from my teen years till my current age. I disliked the shape and appearance of my overall face due to my ears. I also chose to have a closed rhinoplasty because of a past trauma to my nose which created an obvious bump to the side of my nose. Following the trauma I found the bump was getting bigger as time went by. Yvonne’s Consultation with Dr Mooney Dr Mooney was the only surgeon I wanted to see for my procedure as I had heard and seen his amazing results and work ethic. He is an expert in this area an ENT and Facial Plastic Surgeon. I knew that going to him I would gain a natural and complementary result. Word of mouth was really important to me […]
Dr William Mooney Rhinoplasty Nose Surgery Success – Danielle’s Rhinoplasty August 31, 2017 - Danielle has some really awesome results from her nose surgery and she was happy to share them with us. We asked her some questions about her rhinoplasty surgery, her surgeon Dr William Mooney, and what advice she’d give anyone looking to have a nose job. PSH: What prompted you, or was your motivation to have plastic surgery? Danielle: I had always been self-conscious about the size of my nose, particularly the side profile. I also had restricted breathing due to a deviated septum. After my consultation with Dr Mooney I knew it was the right decision for me and I couldn’t be happier with the result, both functionally and aesthetically. PSH: What plastic surgery procedures did you have? Did they all run smoothly, and was there any unexpected trials along the way? Danielle: Rhinoplasty and septoplasty. I have also had some injectable fillers in my lips, cheeks and chin to further enhance and create balance and proportion to my features. This was all done at Dr Mooney’s clinic and was performed very conservatively. I experienced an extremely smooth recovery. I did have residual swelling that lasted for almost 6 months, but Dr Mooney was able to administer a few rounds […]
Beautiful face A Beautiful Face – It’s All In the Balance June 29, 2017 - Preferences for what is more beautiful changes as often as the tides. One minute it’s the natural, blonde, beachy look – the next it’s a more exotic, darker complexion. While these are just fads, it can be argued that beauty generally has a formula. No matter what part of the world you come from – Europe, Africa, Russia, Australia or anywhere else, we are all generally more attracted to faces that are proportional and symmetrical, no matter what the colour, race or shoe size. We take a look at what makes a beautiful face – it’s all in the balance. There’s no one better to ask about what makes a face more beautiful than Dr George Marcells, ENT and Cosmetic Surgeon based in Bondi Junction. He is considered a master of rhinoplasty and one of Australia’s premier facial plastic surgeons. He believes facial cosmetic surgery should be all about tailoring natural looking and well-proportioned results to the individual. Why are proportions, symmetry and balance so significant? Human nature generally makes us attracted to someone based on our subconscious (or conscious) evaluation of a potential mate to provide us with healthy, fit, offspring. This process is called “natural selection” and it […]
Fat transfer to the breasts Tamara has Rhinoplasty and Fat Transfer to the Breasts in the one operation time! June 27, 2017 - Get up close and personal with Tamara from Victoria – she just recently (8 weeks ago) had a rhinoplasty, and fat transfer to the breasts procedure with Dr Allan Kalus from Avenue Plastic Surgery in Victoria. Tamara gives us a rundown of the procedure, and explains why she is delighted with her outcome. Trish Hammond: Great, well I’m really excited. I’m here today with Tamara. Tamara lives in Melbourne and she’s just recently had the fat transfer to the breast procedure done with Dr. Allan Kalus from Avenue Plastic Surgery in Victoria. Welcome Tamara. Tamara: Thank you so much for having me. Trish Hammond: Yeah, it’s a pleasure. I’ve been dying to speak to you. Tamara, when did you actually have your surgery? Tamara: I think we’re going onto about eight weeks now, eight/nine weeks. Yeah, just a couple of months, yeah. Trish Hammond: Okay, so nearly two months. Why did you decide, like what was the catalyst to make you decide that this is the procedure that you wanted to have done? Tamara: Well, to be honest I wasn’t even looking to have my breasts done. I mean, it was just one of those things that, I guess I […]
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Chloe's Breast Augmentation and Rhinoplasty Chloe’s New Nose and Breasts with Dr Jeremy Hunt April 24, 2017 - Chloe recently had a rhinoplasty and breast augmentation with Dr Jeremy Hunt in Edgecliff, NSW. Her journey was ultimately successful, however Chloe has some awesome insights that might help others looking at similar procedures. Having a highly regarded surgeon such as Dr Jeremy Hunt played no small part in ensuring Chloe had the outcome she had dreamed of. We asked Chloe some questions about her experience. PSH: What prompted you, or was your motivation to have plastic surgery? Chloe: My nose is something which has bothered me ever since I was in primary school. It was hooked and lacked femininity. I have always been self conscious about it and this sounds very cliche, but I would daydream a lot about what it must be like to be a girl with, not even a perfect nose, just one that wasn’t so overpowering on my face. My breasts were less of a worry for me. I had always thought if I had the chance, I would make them larger, and adjust the asymmetry. They weren’t the driver for having the surgery – my nose was; but since I would be going under the knife anyway, I thought why not. Did your plastic […]
Facelift Surgery Looking in the Mirror Ten Years Ago… March 28, 2017 - We’ve all done it. We’ve all looked in the mirror and realised that age is catching up with us. We still feel full of energy, life and vitality on the inside and are living lives that are busy and full, but our reflections bring us back to earth, sometimes with a thud! Facial ageing is an inevitable part of growing old. No matter how well you take care of your skin, ageing signs will appear. They can also be aggravated by numerous factors including gravity, toxins, sun exposure the environment, lifestyle and stress. Some of the earliest ageing signs appear in the face, and this is where people begin to see a gap between their appearance and still youthful energy. Dr George Marcells, Facial Plastic Surgeon based in Edgecliff, NSW, is known for his natural looking facelifts that rejuvenates you in such a way that it’s like you’re looking in the mirror ten years ago, and reflects the way we still feel on the inside. You Can’t Stop Time A facelift does not stop time and the ageing process. What they can do is turn back time a little to give you that refreshed, natural and youthful appearance. Your facial […]
Emily's Rhinoplasty Emily Prepares for Her Wedding with a Rhinoplasty and Aesthetic Treatments February 21, 2017 - Emily shares her story with us about her aesthetic treatments in the lead up to her wedding. She saw Dr William Mooney from FacePlus Medispa in Bondi Junction and she says it’s the best thing she’s ever done. I had always disliked the size and shape of my nose since about the age of 15. The tip of my nose was bulbous and asymmetrical and the bump on the bridge also really bothered me. I was always extremely self-conscious about the way it looked and this affected my self-esteem on a daily basis, especially when I was having photos taken. I was 27 when I decided to have rhino/septoplasty with Dr William Mooney and it was honestly the best decision I have ever made. My new nose looks so natural and suits my facial features so well that it looks like I was born with it. Rhinoplasty was something I had always wanted to undergo, particularly because I was getting married and wanted to look and feel great on the day, especially in all the profile wedding pictures. Non-Surgical Treatments During my early 20s I had also suffered from cystic acne on my lower face which left me with scarring […]
All I Want For Christmas All I Want For Christmas is to look awesome December 20, 2016 - You might have heard about the over the top American parents gifting a rhinoplasty to a daughter as a graduation present. Increasingly, there are also husbands who offer their wives a “Mummy Makeover” as a reward for having their children. Mmmmmm not really appropriate? For me, all I want for christmas is to look awesome. So, how would you feel if someone offered you an aesthetic procedure or treatment as a gift? While this trend is increasing, the answer depends – on a lot of things. Dr George Marcells, FRACS, gives his take on the topic and in the lead up to Christmas we thought it was a very interesting subject for discussion! Is giving surgery as a gift ok? Firstly, surgery is as personal as it is serious. It is not something to be lightly considered and is absolutely a decision that the person having the surgery should be making themselves. Being forced into, or encouraged, to undergo any cosmetic or plastic surgery or treatment (such as a nose job) by anyone is definitely not ok. A husband making his wife get a facelift or he’ll divorce her should be divorced. But what if the person receiving the gift has been […]
Revision Rhinoplasty Revision Rhinoplasty October 26, 2016 - We’ve all heard of Rhinoplasty, or a nose job, and it’s an extremely common plastic surgery procedure. But what happens when it goes wrong? Unfortunately, this is an all too common occurrence and many patients end up going back for a second operation. This is called a Revision Rhinoplasty. We talk to Dr George Marcells, one of the foremost experts in Rhinoplasty in Australia about what is involved in a Revision Rhinoplasty procedure. Why have a Revision? Whether it was for financial or personal reasons you went to your initial surgeon; if you just don’t like your new nose; or if the functionality of your nose has been compromised by the initial rhinoplasty surgery; all of these are reasons as to why you might head back to the operating theatre a second time. Dr Marcells says, “Aesthetic concerns, functional issues or, in many instances, both, drive the need for a revision rhinoplasty. The more common issues from primary rhinoplasty have to do with having too much removed from the nose structure or having too little taken off. Symmetry is another common issue. Unusually, excessive scarring may also lead to problems requiring a revision procedure.” Your nose is right in the […]
Woman dreaming Asian VS Western Plastic Surgery October 13, 2016 - Imagine a culture where plastic surgery was actually encouraged, expected, passed on through generations, and even given as graduation gifts.  Whilst you might automatically think of Hollywood (Hollywood is it’s own little bubble, so we don’t count it!) – there is a society where this is happening on an even grander scale!  One in five South Korean women have had plastic surgery, compared with one in 20 American women.  And, according to the latest figures, Australians spend more on cosmetic procedures per capita than Americans.  But we still don’t compare to South Korea, or the Asians in general.  Why? Does being beautiful mean you’re successful? More than any other ethnic group, Koreans and Asians see being beautiful as being successful.  And their beautiful is not necessarily to look more “western” but to better fit the “universal beauty” look.  What is universally considered beautiful?  It is generally agreed by cultures all over the world that open eyes, a perfectly shaped nose, full lips and a slim, oval shaped face are the characteristics that help to make someone appear more “beautiful”.  Whether this is because of the bombardment of Western media or not, it remains a fact.  And in Asia, or especially […]
Zita's Rhinoplasty Dr Jeremy Hunt – Rhinoplasty to Improve Appearance and Airway August 30, 2016 - Zita: People don’t recognise me. I walk down the street and I go, “Hello.” They look at me. If it wasn’t for my hair, they wouldn’t know. My old nose was like a hook nose. I had this very big, prominent hook nose. I was very self conscious, yes. Very, very self conscious of this very big, prominent nose that I had. Yes. It also affected my breathing because it was so big. When I used to breathe in, it used to collapse in and it used to shut my breathing. I couldn’t get a full breath of air into my lungs. Dr. Jeremy Hunt: A rhinoplasty is a procedure that is performed on the nose and it’s going to be primarily for two reasons. To change the appearance of the nose and then to improve the passage of air through the nose. People will come to me considering a rhinoplasty if they are born with a particularly big nose or they have a hook on their nose. They’ll come to me if they have had injury to their nose, such as a broken nose on the sporting field, and there is now deviation or bend, or if the nose […]
Functional Rhinoplasty Breathe Easy – Functional Rhinoplasty August 22, 2016 - Dr George Marcells from About Face in Edgecliff, Sydney, is one of Australia’s leading plastic surgeons. He is especially known for his excellent Face and Rhinoplasty work. Rhinoplasty, or nose jobs, are often not just to improve the aesthetic appearance of the nose, but to improve breathing issues. There are several things that cause breathing difficulties due to nasal airway obstruction. With Dr Marcells’ help we list some of the main ones below. Deviated septum The septum is cartilage in the nose separating your nostrils. In the “perfect” nose it divides your nostrils evenly in order to allow the free flow of air and easy breathing. When this cartilage is misshapen or uneven, it means one or both nostrils make breathing difficult, even forcing the patient to breathe through their mouth. This can be congenital, or caused due to compression of the nose during childbirth or from accidents or trauma to the nose. Accidents or trauma to the nose A car accident, physical abuse, sports injuries or a fall where the nose is impacted could impact, whether it be mild or severe, your ability to breathe through your nose. It could cause a deviated septum or a range of other […]
Interview with Dr Lionel Chang Dr Chang – 30 years experience in Asian Blepharoplasty & Rhinoplasty July 18, 2016 - Trish Hammond: I’m here today with Dr Lionel Chang, and he’s a specialist plastic surgeon based in Burwood, Sydney. Thank you so much for taking the time to talk to us today. We’re just going to have a bit of a chat about Asian blepharoplasty and asian rhinoplasty, and why is it a bit different, because Dr Chang is a specialist in this area. He’s been doing it for many, many years, so thank you. First of all, how long have you been doing Asian rhinoplasty and Asian blepharoplasty? Lionel: Well, more than 30 years let’s say. A long time, yes. Trish Hammond: You’ve done a lot in your time? Lionel: Yes, I have because my training is based… All my teachers… Caucasians. Whereas I’m ethnically Chinese. When I started my practice, a lot of Asian patients approached me to do all these things. I never had training, and I didn’t know how to do it. Nobody was doing it in Australia, so I started off by reading the textbooks, and taught myself how to do it. In the early days, the patients are very forgiving. I made some mistakes, but I learn from my mistakes. Out of that, I […]
Dr John Newton on the Rhinoplasty Conference Dr John Newton on the 2016 AAPSW Rhinoplasty Conference March 1, 2016 - Dr John Newton: Trish, I think this has been traditionally the best conference that I ever get to go to. I’ve been to all but one. Graham puts on a wonderful, wonderful show; gets fantastic speakers, and we get all the blood out of these guys. It’s like they’re on the stage all the time. We get every drip of information. I think that’s what’s made this such a traditionally wonderful conference to come to. It’s been really good in that respect. Really, good. I think there are a lot of key messages I’m going to take home that relate largely to how I talk to a person before their surgery that; relate a lot to how I implement techniques which I already know, but which will how I might manipulate those techniques and use them in different ways. So, really good. Great stuff. You never ever, you can’t stop learning. You just can’t stop learning. I think there’s plastic surgeons all over the world who, in their own work, develop individual little styles and techniques. You come to a meeting like this, you hear the speakers present their individual styles and techniques and you talk to the other members […]
Dr Allan Kalus on Rhinoplasty Dr Allan Kalus talks about Rhinoplasty (Nose Job) Surgery February 26, 2016 - PSH: I’m here today at the rhinoplasty conference in Melbourne. I’m here with Dr. Allan Kalus, who’s from Avenue Plastic Surgery in Windsor, in Melbourne. I’m just going to have a chat about rhinoplasty and any new, interesting things that have been discovered and talked about during the conference. Thank you for taking the time today. Dr Kalus: Thanks, Trish. It’s a real pleasure to speak with you. PSH: Lovely. Tell us all about it. It’s been so exciting. Dr Kalus: Trish, as you know, rhinoplasty is one of the commonest operations that a plastic surgeon would do. Of course, it’s not surprising, because the nose is situated right in the middle of the face, so if someone’s nose is large or bent; it’s very easy to understand how a person can become self conscious about their nose. Indeed, when we do rhinoplasty operation, what we try to do is to make the nose blend into the face, to make it look natural so that the other facial features, the main features of the face, such as the eyes and the lips, really can stand out. What has been discussed at the conference today is the increased use amongst young […]
Perfect Nose IS THERE A PERFECT NOSE? We ask the excellent Dr George Marcells, Facial Plastic Surgeon November 25, 2015 - Rhinoplasty (more commonly referred to as a ‘nose job’) is a surgical procedure that reshapes or resizes the nose. It’s performed for a variety of reasons, which might include removing a visible bump on the nasal bridge, reshaping a nasal tip that’s droopy or enlarged, or re-aligning a nose that is off-centre or crooked through genetics or an injury. It might also be necessary to correct breathing issues. Dr George Marcells, a highly respected and talented Facial Plastic Surgeon based in Bondi Junction in NSW, recently convened the AAFPS Rhinoplasty Symposium in Sydney and is well known for his excellence in facial plastic surgery. We asked Dr Marcells to give us some insight into what can be achieved by having a quality Rhinoplasty procedure done by a qualified and suitably experience Australian practitioner. “Rhinoplasty is a complex surgery that combines both art and science, making it one of the most difficult surgeries to master. Even the slightest change in shape or structure can cause breathing problems and other functional issues. This is why rhinoplasty has a very high revision rates compared to other types of cosmetic surgeries.” Getting a nose reshaped is one of the most common cosmetic surgery procedures. […]
Dr George Marcells Interview Interview with Dr George Marcells, Facial Plastic Surgeon November 19, 2015 - Trish: Now we’re here today with Dr Marcells. Dr Marcells is an ear, nose and throat specialist and he’s also a facial plastic surgeon. He is the current President of the Australasian Academy of Facial Plastic Surgeons. He is the Medical Director of Bondi Junction Private Hospital and he also consults at About Face Clinic which is located in Bondi. Thank you so much for taking time to talk to us today Dr Marcells. Dr Marcells: Thanks for having me Trish. Trish: You’ve got a reputation as the guru on the deep plane facelift, can you just give is quick run down of the procedure and who can actually benefit from this procedure? Dr Marcells: Ok, well Trish, I think the deep plane facelift is the best facial and neck rejuvenation surgery available. I think it gives the most natural results; it doesn’t give that telltale sign of a pulled look. It’s not a new surgery; it’s been around for 20 years, even since the 1990s so it’s very tried and tested. In fact, when it came into vogue, it was touted as the new facelift to give natural results. A lot of doctors started to do it and they […]

2 Comments

  1. To whom it may concern,
    I am enquiring around a nipple Areola reduction and the prices involved along with some surgery information, location and whether you lose sensation in the nipple after surgery.
    Thanks,
    Jacob

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  1. What are the latest plastic surgery trends for 2015? - […] Often done in conjunction with a breast augmentation or reduction, this surgery is gaining momentum as a standalone procedure.…

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