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"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.


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