It’s true, most women contemplating breast enhancement in Hawaii are considering breast augmentation, breast reduction or breast lift surgery. But for some, their concerns are confined to the look of their nipples and areolas. Some women’s nipples are inverted, or turned inward. Some women feel their nipples protrude too far. For others, the problem is areolas that are too big or too puffy. But no matter what the problem is, the solution is almost always a simple procedure.
What many women think of as “the nipple” is actually made of two parts: the nipple and the areola. The nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple. This page discusses options to reduce enlarged areolas. If you are interested in solutions for enlarged nipples, learn more.
If you’re just not sure what kind of help your nipples or areolas need, you may want to check out our photo gallery under our Breast Augmentation page and consider the possibilities. Then request an appointment with Dr. Allen Strasberger. He can help you choose the most natural, attractive look for your nipples.
Large areolas may look out of proportion with the rest of the breast – especially if the patient has had a breast reduction or breast lift, but it happens naturally as well (often after childbirth). There are no medical complications from having large areolas, so the desire to reduce the areola is purely cosmetic, but can really positively affect the patient’s self-esteem and body image. Areolar reductions are performed in our Outpatient Surgery Center. The surgery usually takes less than one hour and the patient can return to their normal activities within a day or two. Sensitivity is usually maintained and all steps are taken to maintain the patient’s ability to breastfeed.
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Surgical Reduction of Enlarged Areola
All reductions begin with a doctor examination to determine the available options to achieve the desired results. Areolar Reduction is done by removing some of the pigmented areola, either by an incision around the outside of the areola or by an incision around the base of the nipple. Very large areolas may require a lollypop-shaped closure. This is where a vertical incision runs down from the nipple as well as around the areola and then is closed in the shape of a lollypop.
The goal is to minimize scarring and this is achieved by performing the smallest incision necessary. Dissolving sutures are placed underneath the skin – these minimize scarring as well as eliminate the need to come back into the office for a “painful suture removal day.” The reduction is performed at the Dr. Allen Strasberger Surgery Center and can be performed with local anesthesia.
Recovery time will depend on the patient, but most patients can return to work and resume their normal activity within a day or two.
This treatment does not normally affect the ability to breastfeed. Some women are unable to breastfeed even without surgery.
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