Youthful areola and cute nipple

Areola reduction Toronto, Toronto areola reduction, nipple reduction Toronto, Toronto nipple reduction, nipple piercing repair, inverted nipple Toronto

Cute Nipple-areola complex

Cosmetic breast surgery isn’t only about augmentation. My downtown Toronto and Richmond Hill locations are seeing an increasing number of patients interested in rejuvenating their nipples and, in some cases, their areolae.

We all know what a nipple is but the areola is the browner disk around the nipple that both men and women have.  A study done in the 70’s established that a sexy youthful woman areola (according the a group of males being interviewed) should be 4,2cm in diameter.  This number seems to apply across all cultures.  A male areola is smaller, averaging 22-26 mm in diameter; the male areola is also slightly ovoid as opposed to a woman’s areola being rounder.  Those areolar size numbers are important also when I perform top surgery (gender reassignment) on my trans-male patients where a female-sized areola has to be sized down to a male-size areola.

A large areola is usually present with larger breasts.  An areola will also enlarge with pregnancy and breast-feeding.

Nipple piercing and nipple manipulation can also lead to larger nipples.

Finally, nipple piercings leave a permanent tract so patients who are no longer interested in the piercing will also seek a nipple repair.  Same applies to other piercings such as belly-button piercing, lip piercing, eyebrow piercing, etc.

Nipple reduction is relatively simple and usually done under local anesthesia.  One can wish for a reduction in projection and/or a reduction in the diameter of the nipple.  I use both dissolvable sutures and sutures that need to be removed 5-7 days later.  Nipple surgery can also be performed at the time of breast augmentationRecovery is easy as there is no real downtime; patients can return to work right away.

Nipple augmentation is also an increasing request.  I perform nipple augmentation with fillers, such as restylane, perlane and the newest juvederm fillers: Volbella, Volift and Voluma.  Cartilage graft, dermis graft and bone grafts can also be used.

An areolar reduction can also be performed under local anesthesia.  An areolar reduction is also almost always done when performing a breast reduction and a breast lift, aka mastopexy.  Areolar reduction is performed by the excision of a donut-like rim of skin with the excess areola and closing back the outer circle to the smaller 4,2cm inner areolar circle.  Multiple layers of sutures are required and I commonly use a purse-string permanent suture technique to help preventing future widening of the areola.  Resulting scar is at the perimeter of the newly sized areola and usually become a pale scar over one year.  Light-coloured scar can later be tattooed with skin-coloured tones.

Recovery for isolated areolar reduction is also simple and relatively easy.  Stitches are present for about one week.  Patients can normally return to work the following day and I apply a water-tight dressing so patients can have showers and return to work.

It is also common to combine nipple and areola surgery with breast surgery and with a tummy-tuck (abdominoplasty); that procedure has been called the mommy-make over or the yummy-mommy procedure.

Inverted nipple is also a common request at Visage Clinic.  Correction of the inverted nipple is also a relatively simple procedure, done under local anesthesia.  Various degree of  severity – or grade – of nipple inversion exist.  The cause of inverted nipple is usually short and tight breast ducts (man en woman have between 15-25 breast ducts).  Various techniques exist but the release of the breast ducts is important, along with the closure of the dead space created by the release of breast ducts.  Nipple suspension is also considered at the time of inverted nipple repair.

Cost for those procedures varies slightly depending on the request and the technique chosen. Not all surgeons were created equal… make sure your surgeon is a board-certified plastic surgeon – and an artist!

By Dr. Marc DuPere


33 Responses to Youthful areola and cute nipple

    • Dr Marc DuPéré says:

      Hi Chris, yes I do areolar circumference reduction for men as well. This is normally done under local anesthesia and the recovery is very simple. Call Danielle to book a consultation – 416.929.9800. Looking forward to meeting you, Dr. DuPere

  1. Andrea says:

    How much does an areola reduction cost, and at what age is it appropriate to get this surgery, since I’m unsure at what age breasts completely stop growing.

    • Dr Marc DuPéré says:

      Hi Andrea, I am replying to you directly to your email. As for age, 18 yrs of age is an acceptable minimum as breasts and areolas can still enlarge up to age 18. Best, Dr. DuPéré

  2. Diana says:

    How much would it cost to get an areola reduction, a lift and possibly a small implant to perk it up? Is it possible to get all of them together?

    • Dr. Marc DuPéré says:

      Hi Hayley,

      I just emailed you with a lot of good information and pricing for your requested procedure. We look forward to meeting you.

      Dr. DuPéré

    • Dr. Marc DuPéré says:

      Good morning. Areolar reduction can be done alone, most often under local anesthesia. That being said, most males with puffy nipple/areola have excess breast tissue underneath called gynecomastia. Some gynecomastia require gland excision alone whereas some require both gland removal and some chest liposuction. The later requires general anesthesia. Best would be to come and visit us for a consultation and I will be better able to assess and give you a quote. Call us: 416-929-9800. Kind regards, Dr. DuPere

  3. K M says:

    Hello Dr. Marc, I had gynocomastia surgery back in June but I’m still unhappy with my areola size, what would be the cost on a reduction, thanks

      • Keil says:

        I never received an email, could you try again?, and if you don’t mind could you remove where you said my name?, not many people named Keil and this has always been a touchy subject for me lol, thanks

        • Dr. Marc DuPéré says:

          Good morning.

          I jsut checked and I did send you an email and my assistants also followed up via a second email. Perhaps you check your junk mail box. I will resend my answer too. Kind regards, Dr. D.

  4. Donna says:

    Hi I know I will need a consult but I have tuberous breasts..mild. I had implants placed with scoring and fold lowered one side. However my herniated areola never addressed…reduced in size and either puffy or when cold and contract all wrinkly that I detest. Perhaps scoring not complete around areola area? Very little breast tissue though so if need to remove herniated tissue to get flatter areola and reduction as well, possible scoring would you need enough good tissue for layers of sutures to be able to hold the areola reduction? I worry i wouldnt have enough and have areola just stretch back out and be worse then now!
    I would need a capsule fix i believe also as not enough cleavage (not released enough there?) but on my back breasts fall to sides bad.
    Could i get capsule fix, areola reduction…posible mastopexy with that if need as well as switching saline to silicone all at same time? And if so would the desired or possibly required larger implant at same time as areola reduction cause areola to stretch out especially with problems already mentioned above?
    Or a possability for one stage of surgery to start figuring out how to pay for this as my self esteem has been greatly affected by this!
    Sorry so long thanks so very much! I imagine no way to give an idea of pricing all that but slight idea of cost maybe? If i get more work done better deal? If able to do all that and more at one time or separate time..want upper bleph as well as removal of belly piercing scar and possibly other work. Health readons means havent worked in almost 4yrs but will find money somehow. Need it for self esteem help. Again sorry long and thanks

    • Dr. Marc DuPéré says:

      Thank you Donna for your message. From your description, it would very helpful for me to meet with you and to have a look; only then I could suggest a plan of action and quote(s) could be given. I look forward to meeting you. Dr. D.

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