How Can I Make My Areolas Flat After Nipple Reduction Surgery?

Q: Dr. Eppley, I did gynecomastia reduction surgery five years ago. Recently did a nipple reduction. Post nipple reduction scar tissue developed around nipples and areolas. I visited previous doctor 4x for the steroid shot. He is now advising me that I will have to do a revision to remove scar tissue. I don’t trust the doctor and want my areolar flat. Please advise and See pics of nipple erect. This drives me crazy and I need this fixed asap 

A: There are only two reasons why an areola remains ‘puffy’ after open gynecomastia surgery. First there may be residual hard breast tissue that remains. (most common reason). Second, scar issue has formed. Either way and given that it has been over five years after the original surgery a secondary open areolar excision is needed.

Dr. Barry Eppley

Indianapolis, Indiana