Areola Reduction

What is areola reduction?

Areola reduction is a surgical procedure designed to decrease the size or change the shape of the areola — the darker skin surrounding the nipple.

It can be performed for both men and women.
It is sometimes combined with other procedures, such as a breast lift, breast reduction, or nipple reduction, to improve overall breast or chest appearance.
The goal of the procedure is to create a more balanced or proportionate appearance, based on the individual’s concerns and anatomy.

Note:

Areola size naturally varies between individuals and may change due to genetics, puberty, pregnancy, breastfeeding, ageing, or weight changes. Surgery is not medically necessary unless it is being considered for personal or psychological reasons.

Why areola reduction may be considered

Some people choose to undergo areola reduction if they are concerned about:

Larger-than-expected areolas, which may appear disproportionate to the breast or chest.
Puffy or stretched areolas, often caused by factors such as pregnancy, breastfeeding, or significant weight changes.
Asymmetry, where one areola is noticeably different in size or shape compared to the other.
Concerns related to appearance, self-confidence, or discomfort.

How areola reduction is performed

The procedure is generally performed on an outpatient basis, meaning you can usually return home the same day. It may be done under:

Local anaesthetic – numbing only the area being treated, or
General anaesthetic – where you are asleep during the procedure.

Typical steps include:

A small circular incision is made around the outer edge of the areola.
A thin layer of tissue is carefully removed to reduce the size of the areola.
The incision is closed with fine sutures (stitches) to help minimise scarring.
A protective dressing is applied to support healing.

When combined with other breast procedures (such as a breast lift), the areola reduction is incorporated into the surgical plan.

Recovery and aftercare

Recovery times vary depending on the individual and whether other procedures were performed.

Most people return home the same day.
You may experience mild swelling, bruising, or tenderness, which usually subsides within a few days to weeks.
Your surgical practitioner will provide specific instructions for caring for the incision, including keeping the area clean and dry.
Stitches are generally removed (or dissolve) within one to two weeks.
Avoid strenuous activity or heavy lifting for several weeks to reduce the risk of complications.
Follow-up appointments are essential to monitor healing and address any concerns.

Risks and potential complications

As with any surgery, areola reduction involves some risks and potential complications, which may include:

Infection at the surgical site
Bleeding or haematoma (collection of blood beneath the skin)
Fluid accumulation (seroma) or pus formation
Allergic reaction to anaesthetic or dressing materials
Changes in nipple or areola sensation, which may be temporary or, rarely, permanent
Scarring, which can vary depending on individual healing
Asymmetry, where the areolas may not heal to appear perfectly symmetrical

Your practitioner will discuss these risks during your consultation and explain how they are managed.

Expected outcomes

Areola reduction typically results in smaller, more proportionate areolas, which may improve the overall appearance of the breast or chest.
Final results may take several months as swelling subsides and scars mature.
Scars are usually placed along the natural border of the areola to help them blend in, but scar visibility varies from person to person.
Individual outcomes differ depending on healing response, anatomy, and lifestyle factors.

Important consideration:

While most people are satisfied with the results, there is no guarantee of a specific aesthetic outcome. Further surgery may occasionally be needed for revision or correction.

Key points to consider before surgery

Understand the potential risks, limitations, and recovery requirements before deciding on surgery.
Choose a qualified, registered health practitioner experienced in areola reduction and similar procedures.
Consider whether you plan to breastfeed in the future, as there may be a small risk of changes to breastfeeding ability.
A pre-surgical consultation is essential to discuss your goals, medical history, and suitability for the procedure.