Answers
"My areolas are way too large. Can the size of the areolas be changed; if so, can it be done during the breast augmentation procedure?"
Answered by
David A. Hidalgo, MD
NYC, NY
Yes, the areolar diameter can be made smaller at the time of augmentation by removing a doughnut shape of the dark skin from the outside of the areola. This does not affect sensation. While the size will be smaller the areola has more of a stuck-on look because the edge no longer blends softly with the surrounding skin but instead there is a sharp demarcation at the junction between the dark and light skin. Because of this, diameters up to 5 centimeters are acceptable and should probably not be made smaller. A portion of the incision around the areola is used to put the implant in.

