Areola Reduction & Lift

Areola reduction and lift is typically requested for areolas that have enlarged after pregnancy, breastfeeding, or weight change, or for patients with constitutionally large areolas seeking a more balanced look. The procedure addresses both the diameter of the areola and, where required, its position on the breast.

It can be performed as a stand-alone procedure or combined with mastopexy, reduction, augmentation, or implant exchange within a single operation.

A periareolar (donut) incision is made at the desired new areola border. A ring of skin is removed between the new and old borders, and the surrounding skin is gathered and sutured to the smaller circumference. Where lift is needed, additional skin is removed superiorly to elevate the nipple–areolar complex.

The procedure is typically performed under local anesthesia within 30–60 minutes. Where combined with other breast surgery, it is incorporated into the larger operative plan.

Most patients return to daily activity within 1–2 days. Sutures dissolve or are removed within 7–14 days, and final areola shape settles over 8–12 weeks as the surrounding skin redrapes.

The periareolar scar typically matures over 12–18 months. Scar care — silicone products and sun avoidance — is recommended during this period.