What Is Areola Reduction Surgery?

What Is Areola Reduction Surgery?

Posted on August 5, 2025

Areola reduction surgery is a simple cosmetic procedure that reduces the size of the pigmented area surrounding the nipple, known as the areola. Many people feel self-conscious about large or asymmetrical areolas, which can develop naturally, due to genetics, pregnancy, breastfeeding, weight changes, or aging. Areola reduction can help create a more balanced, proportionate look to the breasts and boost self-confidence.

How Does Areola Reduction Work?

During the procedure, a plastic surgeon removes a small ring of excess pigmented skin around the outer edge of the areola. The incision is then closed with fine sutures, leaving the nipple and underlying tissue intact. This technique allows the areola to be made smaller and more symmetrical while preserving natural sensation and nipple function.

Areola reduction is usually performed under local anesthesia with sedation and often takes about one hour. It can be done as a stand-alone procedure or combined with other breast surgeries such as a breast lift, breast augmentation, or breast reduction for more comprehensive results.

Who Is a Good Candidate for Areola Reduction Surgery?

You may consider areola reduction if you:

  • Feel your areolas are too large, wide, or disproportionate to your breasts

  • Have areolas that have stretched or changed shape due to pregnancy, breastfeeding, or aging

  • Desire more symmetry if your areolas are uneven in size

  • Are in good general health and have realistic expectations about the results

A consultation with a qualified plastic surgeon is the best way to determine whether this procedure is right for you.

What Is Recovery Like?

Recovery from areola reduction is generally quick and straightforward. Most patients can return to normal daily activities within a few days. Some mild swelling, bruising, and tenderness are normal but should improve within a week or two. Stitches are usually removed or dissolve on their own within about a week.

To help the area heal properly and minimize visible scarring, your surgeon will provide specific aftercare instructions. Final results become more noticeable as swelling subsides and the scar fades over the next few months.

Will There Be a Scar?

Areola reduction surgery does leave a fine scar around the edge of the areola where the incision was made. However, this scar usually blends well with the natural color transition between the areola and surrounding skin. With proper care and time, the scar often fades and becomes barely noticeable.

Is Areola Reduction Covered by Insurance?

Areola reduction is typically considered a cosmetic procedure, so it is usually not covered by insurance. If it is done as part of a breast reduction or reconstruction for medical reasons, insurance may cover a portion of the overall surgery cost.

Should I Consider Areola Reduction?

If you feel self-conscious about the size or shape of your areolas and it affects how you feel in clothing, swimwear, or intimate settings, areola reduction surgery may be a simple and effective solution. Many people find that this small adjustment can make a big difference in their overall breast appearance and self-esteem.

Schedule a Consultation

Interested in learning more about areola reduction surgery? Contact us today to schedule a private consultation. We’ll discuss your goals, answer your questions, and create a personalized plan to help you feel more confident and comfortable in your own skin.

For More Information on the Treatments and Procedures offered, contact award-winning Board Certified Plastic Surgeon Dr. Thomas Fiala at Fiala Aesthetics in Greater Orlando to Schedule Your Consultation:

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