Q: Dr. Eppley, I have a breast reduction question. Immediately after surgery when the dressings were taken off, my areola have a somewhat different size and shape. I know that my breasts will hange during the recovery period as the swelling goes down. I was wondering if my areolas would also change in shape and size as well? I knew there was a high possibility of them being different but I wasn’t sure if they just look a lot different in size now because they are still healing.
A: The areolas may change a bit but not a whole lot as the breast reduction heals. Areolas are usually a bit different after breast reduction surgery because they were not never really symmetric initially. While they are cut evenly using a ‘cookie cutter’ at 42mm in diameter during the first step in breast reduction surgery, the act of sewing them back to a new spot on the breast mound and the suturing rarely makes them as symmetric as the way they were initially cut out. I would wait six months and if the areolar size and shape is still an issue, adjustment of them can be done in the office under local anesthesia.
Dr. Barry Eppley