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Frank Agullo, MD En Español

Areola Reduction

The Big Deal with Areola Reduction

Size and shape of your areolas are part of your genetic makeup, and sometimes some women feel unhappy about their appearance – wishing they were smaller. The areola is the brown or pink area of skin around the nipple. Areola reduction surgery is easy, fast, and available to both women as well as men.

Is It Right For Me?

Having this particular type of breast procedure done reduces the amount of darker skin around your nipple, making the areola look smaller. This is limited to the edge of that area where it meets your natural skin color. Advantages to this procedure, beside the reduction itself, are a tightened breast tissue also raises the nipple into a higher level. The recovery time is somewhat short. In most cases, it can be done with local or general anesthesia right here in our office. Many women prefer to have it performed alongside other operations, such as breast lifts.

Qualifying for this procedure is just a matter of whether or not your areolas have a few distinct characteristics:

1. They’re Wide and Enlarged

  • For an average height woman, the ideal diameter of their areola should be about 4.7 cm. However, many women will have areolas larger than that measurement, especially after giving birth to a baby. If you fit in this category, a reduction may be appropriate. Of course, depending on the overall appearance to your bust line, the ideal diameter should proportionally suit your breast tissue.

3. Misshapen Areolas

  • An areola appearance should typically be circular in shape, or for some, even oval. Reduction surgery is usually implemented to limit the areolas’ diameter, but can also be completed to reshape a non-circular areola so that they are more symmetrical.

2. Raised, Domed Areolas

  • Breast tissues of this type are usually caused by them moving forward, pushing the areola outward. This development can be a result of a condition like tubular breast abnormality, or tuberous. We can correct the areola’s curvature by reducing some of the concealed tissues tucked just under the breast surface, giving a flatter, overall appearance.

4. Abnormalities

  • Color deviation within the areola, can create tone changes across the nipples. Even small nodules along this area of the breast can create the appearance of what look like clogged glands. A small amount of surgical intervention can help reduce their appearance.

Boosting Self-Confidence

An irregular appearance of your areolas can impact your life, especially in more intimate settings. Getting this small procedure done will make your areolas proportional to your breasts, and can boost your self-esteem.

How The Surgery is Performed

Dr. Agullo starts by removing some of the circular area on the outer edge of the areola. The normal skin is then drawn in to surround the new edge that is being created. Permanent stitching may be placed deeper in the tissue to avoid unwanted widening of the areola during recovery. Then, absorbable or dissolving stitches are placed just inside the new areola margin, to maintain the reduced diameter as your skin heals.

After Surgery

Despite the fact that this process is very simple, it is still best for you to take it easy the first week after surgery. Keep a relatively low heart rate, but keep moving – a little circulation is a good thing. However, too much activity can lead to swelling and bruising in the surgical site.

Once your week is up, you’ll have a follow up appointment so that Dr. Agullo can inspect your chest to make sure everything is healing correctly.

Cost of Areola Reduction

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment.

What’s Next?

It’s a great idea to do as much research possible while considering cosmetic surgery. We will schedule your treatment so that you can plan your procedure around the time you need to take off of work.

If you feel your areolas don’t suit you, then you can arrange a free, no obligation consultation with Dr. Agullo of Agullo Plastic Surgery to discuss personalized options that are available here in our El Paso office.


Schedule a risk-free evaluation with Dr. Frank Agullo today.