Should you pair the surgery with a breast reduction or breast augmentation?
While a nipple reduction surgery can be performed alone it can also be performed in combination with other plastic surgeries. It is most commonly with other breast enhancement surgeries such as reduction or augmentations. Some patients opt for this combination surgery to reduce the amount of time they spend under anesthesia and to cut down on surgical recovery time.
When combining a breast augmentation with areola reduction procedures, an incision is typically made around the areola. This will be used to alter its size and most surgeons can use this same incision to place implants. This type of incision is called a periareolar incision.
Without a combined breast augmentation this procedure will remove portions of the areola through an incision along the outer edges, allowing surgeons to reduce the size and prominence.
Before the surgery, preoperative marks will be drawn on the areola based on the patient’s preferences that they discussed with Dr. Larsen prior to surgery. In an areola reduction stand-alone procedure usually only local anesthesia is necessary. The base and trunk of the areola will be treated with lidocaine and incisions will be made.
The surgeon will carefully remove the extra skin and sutures will be used to attach the nipple to the base reducing the height. If the width of the nipple is also being reduced skin from the circumference of the nipple will be sutured back together as well.
After sutures are in place bandages will be placed over the treated areas and the patient will begin the recovery process. Most patients are recovered within 2 weeks of the procedure. Although some lifestyle adjustments will need to be made during recovery most patients can expect to be back to their regular schedule within a few weeks.