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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Dr Yong Ju Yang Dr Yong-ju Yang – Rhinoplasty Master! October 9, 2015 - Dr Yong-ju Jang, MD, PhD is Professor at the Department of Otolaryngology at the Asan Medical Center located in the University of Ulsan College of Medicine in Seoul, Korea. Immediate past president of the Korean Academy of Facial Plastic and Reconstructive Surgery and also serving as the Vice-president of Pan-Asian Academy of Facial Plastic and Reconstructive Surgery, Dr Jang has written two textbooks on rhinoplasty, and contributed chapters to various rhinoplasty textbooks. He has published 43 scientific papers on rhinoplasty in a number of international journals and was an invited speaker on rhinoplasty in 61 international conferences held in more than 20 countries. He is therefore, an extremely knowledgeable industry heavyweight on the subject of Rhinoplasty. Dr Jang is also one of the keynote speakers at the AAFPS Conference on in Sydney at the moment. I was lucky enough to be able to ask Dr Jang a few questions. Questions: PSH: How does Rhinoplasty differ in Asian societies as opposed to Western societies? Is there a different ideal of beauty and the type of nose that is requested? Also, are there any structural differences and considerations when performing rhinoplasty surgery? Dr Jang: In Asian rhinoplasty, making the nose bigger and […]
AAFPS Masters Symposium 2015 Rhinoplasty Master Symposium: Sydney Nose Best October 8, 2015 - The nose takes centre stage as over 150 of Australia’s top Facial Plastic Surgeons and Plastic Surgeons meet in Sydney this week for the inaugural combined conference of the AAFPS and ASPS – focusing on Functional and Aesthetic Rhinoplasty. Better breathing, less snoring and marital facial harmony are all more achievable when rhinoplasty is performed at its best. “Nobody knows more about noses than the keynote speakers we have attracted to this meeting,” says Australasian Academy of Facial Plastic Surgery (AAFPS) President and Symposium Co-Convenor, Dr George Marcells. “If this meeting was held anywhere else in the world, there would be 1,000 surgeons attending,” says Symposium Co-Convenor, Mr Peter Callan, a Plastic Surgeon and member of the Australian Society of Plastic Surgeons (ASPS). The intimate nature of this meeting being held at the National Maritime Museum in Sydney from 8-10 October 2015 provides an opportunity for sharing close to 1,500 years of combined knowledge and hands-on experience with what is regarded as one of the most difficult procedures to perform. “What makes a good nose job?” “Who has the most desirable looking nose?” “What techniques provide the best, most predictable, & long lasting results for patients?” …These are just some […]
Plastic Surgery Cost Pricey Procedures – What does Plastic Surgery Cost? January 28, 2015 - What does it cost? This is one of the first questions anyone usually asks when it comes to looking at plastic surgery. The answer is it greatly varies. We have done the research for you and come up with a general price guide for each procedure. These are an approximate guide only; each doctor, surgery and clinic can vary dramatically in their pricing. It can also depend on how much work is involved in your particular procedure, which hospital you choose and how much after care is required. Whether you are insured or not can also make a big difference. It pays to note that just because a particular surgeon charges less, does not by any means make them a less competent surgeon. In fact, quite a few of the leading surgeons actually have very competitive prices. When asking for an estimate on a particular procedure make sure you ask the surgeon if that includes your hospital stay, the anesthetist and the pre and post op consultation fees. The prices we have listed below are inclusive of all charges involved in the procedures and are in Australian Dollars. Breast Augmentation $7,000 – $15,000 Abdominoplasty $6,000 – $16,000 Rhinoplasty $8,000 – […]
Dr George Marcells Dr George Marcells – An Interview November 6, 2014 - Dr George Marcells is undisputedly considered a leader in the field of Rhinoplasty and is often consulted by other top plastic surgeons looking to tap into his expertise. President of the AAFPS, he presents regularly at Facial Plastic Surgery conferences both in Australia and overseas, and was recently one of the key players at the Australasian Academy of Facial Plastic Surgery’s (AAFPS) The Triennial Masters’ Symposium, focusing on Blepharoplasty and Upper Facial Rejuvenation held in Sydney in September. We were lucky enough to be able to ask Dr Marcells a few questions. You are the leader in the Deep Plane Facelift. Can you give us a brief description of what that is? The deep plane facelift is a highly anatomical lift that places an emphasis on structure to give long lasting, natural results. My aim is to re-contour the neck, jawline and mid-face into a natural, more youthful position. This deep fixation takes the tension off the skin so as not to get a pulled appearance. While the Deep Plane Facelift is heralded as a much more successful and natural looking facelift, are there any candidates for the procedure you would not recommend for this kind of lift? Are there […]
Michael’s Rhinoplasty almost a year ago - great nose job! Michael’s Rhinoplasty almost a year ago – great nose job! May 29, 2014 - Michael had rhinoplasty last year. He sent us a couple of photos this week and made the comment of how different it actually is when you look at the photos. After first having it done he didn’t really feel there was a great difference. What with the swelling and complication that he had after the surgery, he felt it was still the same. Now we all know that the body can take a while to heal, and sometimes we forget that we may just need to let nature take it’s course. So this is when the waiting game begins. Surgery is a big decision to make, and a big step to take, so it’s vital to let the body heal afterwards and equally important to keep your expectations real. If you have a Barbara Streisand kind of nose, it’s probably going to be unrealistic to expect that you will end up with a little Angelina Jolie kind of nose – and you really want your nose to fit your face – so what you’re after is a better or smaller version of your own nose. I love Michael’s new look. He still looks the same, just kind of different? I […]
3 Plastic Surgery Procedures That Blend Form & Function 3 Plastic Surgery Procedures That Blend Form & Function May 20, 2014 - Although the majority of plastic surgery procedures in Australia are performed solely to enhance a person’s looks, many procedures are also done to improve the function of a certain body part. Read on to learn how plastic surgery can give you more than just a pretty face: Rhinoplasty, or a “nose job,” is an incredibly versatile procedure that can alter the size, shape, projection, and contours of the nose. But many people, explains Dr. Chase Lay, rhinoplasty surgeon in San Jose, pursue the surgery to improve their respiratory function. The nose is a complex part of the face, made up of an intricate network of bones and cartilage. Many common respiratory concerns, such as a deviated septum, are caused by misshapen or misplaced structures. A deviated septum is a relatively common condition that occurs when the nasal septum is tilted or displaced, blocking airflow through one nostril. A deviated septum can contribute to snoring, frequent sinus infections, nosebleeds, facial pain, and other symptoms. And although minor symptoms can often be managed with medication, more severe cases are better served by surgical intervention in the form of rhinoplasty or septoplasty. Rhinoplasty can also be performed to improve the nose’s appearance and […]
Daddy Do Over March 26, 2014 - We have all heard of the Mummy Makeover, helping mums regain their bodies after childbirth, but what about Dad? Of course mum bears the full grunt of childbirth but what happens to Dad? With the stress of parenthood, the lack of sleep, exhaustion and time constraints comes the unwanted physical changes that yes, even dad deals with too. Many would say we are in an age where the gender role is in a flux. With more and more men seeking cosmetic procedures it seems it is no longer just the girls that are taking their physical appearance seriously. Recently we wrote about the statistics of more men seeking botox, you can find that article here. But research is also suggesting that dads are in the top 4 types of men seeking cosmetic procedures. Often Dads feeling the physical affects of parenthood are looking for a Daddy-Do-Over, which is generally a number of cosmetic procedures such as liposuction, jawline recontouring and an eyelift performed in a single surgery. Dr. Pouria Moradi from Sydney’s East performs a number of male cosmetic surgeries. Although he doesn’t package Daddy-Do-Overs he does see a number of dads seeking out cosmetic procedures due to the lifestyle […]
Michael - Rhinoplasty - Real Story Michael – Rhinoplasty – Real Story July 10, 2013 - Michael’s Story – Rhinoplasty “I am very happy with the way my nose is starting to look” Michael is a 32 year old male who has had long term breathing problems. In addition to this medical condition he had been unhappy with the shape of his nose. The decision to have the cosmetic surgery was prompted by a friend who had just had successful Rhinoplasty and he began to think more about it. Ideally he would like his nose to be finer and less pronounced. Initially he didn’t have a clear picture of what exactly he wanted done. He visited a plastic surgeon to have a preliminary consultation and to see exactly the things that could be done. Because he didn’t know what he wanted done he was looking for the surgeon to tell him what to have done. At the end of this consultation and with a clearer understanding of the possibilities the doctor told him to go home and to give it more thought. When he went back for his second consultation he was able to give the surgeon a clear picture of how he would like to have his nose shape improved. Michael’s final instructions to his […]
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