Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Toronto, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

Youthful Areola and Cute Nipple

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

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

What makes an areola sexy?

We all know what a nipple is, but you may not know the areola is the browner disk around the nipple that both men and women have.  A study done in the 70’s established that for women a sexy youthful 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.

What makes the areola larger?

There are a variety of reasons women and men have large areolae, including:

  • Larger breasts usually have large areolae.
  • Pregnancy and breastfeeding can make the areolae larger and darker.
  • 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, and eyebrow piercing.

How is nipple/areola surgery performed?

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 to 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 a more popular request.  I perform nipple augmentation with fillers, such as Restylane®, Perlane®, and the newest JUVÉDERM® fillers: VOLBELLA®, VOLIFT®, and VOLUMA®.  Cartilage graft, dermis graf, and bone grafts can also be used.

Areolar reduction can also be performed under local anesthesia.  This procedure is also almost always done as part of a breast reduction and a breast lift.  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.  The light-coloured scar can later be tattooed with skin-coloured tones.

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

It is also common to combine nipple and areola surgery with breast surgery and with a tummy tuck; this combination procedure is often called a mommy makeover or the yummy mummy procedure.

Inverted nipple correction is also a common request at Visage Clinic.  Correction of the inverted nipple is also a relatively simple procedure, done under local anesthesia.  Various degrees of  severity – or grade – of nipple inversions exist.  The cause of inverted nipple is usually short and tight breast ducts (man and woman have between 15 to 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.

How much does nipple surgery cost?

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

Visit my online patient photo gallery to see my breast lift results, many of which include nipple reduction.

By Dr. Marc DuPere


43 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

    • Dr Marc DuPéré says:

      Hi Taylor,
      I will reply to you directly via your email address with some infos!
      Best, Dr. DuPere

  • 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

  • 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 Sandy, I will email details right now. We look forward to meeting you! Dr. D.

    • Dr. Marc DuPéré says:

      Hi Anne, I will email lots of details to your email address.
      Best regards,
      Dr. D.

    • 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

  • 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.

  • 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.

  • Austin says:


    I am a male who has light colored nipples. Is it possible to enhance the color by making it darker? Will it look real?

    • Dr. Marc DuPéré says:

      I would not know since we do not do tattooing in my office. I suggest you find a good tattooer and consult with him/her. Dr. D

  • Sydney says:

    I had breast implants placed under the muscle almost a year ago. How does the scaring after areola circumference reduction look like? I have seen some results where the areola doesnt look very circular, a little misshaped, or different from one another, why would that happen or is it just picking a good surgeon? My one areola is also a little larger than the other as well as that same breast being a tad “saggier”, would reducing them both to the same size help with the “sagginess” of the one by taking off some of the extra skin? Also what is the rate of people who lose sensation after this procedure? Thank you.

    • Dr. Marc DuPéré says:

      Hi and thank you for your interest. All good questions. We, plastic surgeons, all aim for symmetrical round areola (although in nature, no one has exactly round nor symmetrical areola). That being said, the areola tissue can stretch easily post op and this is why we will often use a permanent suture to minimize this risk. Final areolar size is also subject to external forces when using the upper extremity. Loss of sensation is very rare with a pure areolar reduction… likely less than 1%. It is feasible to “adjust” the height between the 2 areola if the difference is small. Should you require a lift, the incidence of loss of sensation to the nipple is slightly higher and this will be affected by the type if lift required. I look forward to meeting you. Dr. DuPéré.

  • Ella says:

    Hi, could you send me some information regarding your prices for areola reduction surgery? As well as what makes a better candidate for just the reduction vs a breast lift and reduction?

    • Dr. Marc DuPéré says:

      Good day! My assistants will be emailing you shortly with all the information. You can also call them Monday-Saturday 416-929-9800 or email us at Kind regards, Dr. DuPéré.

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