Prior to the areola reduction surgery, the doctor needs to examine the areolae to decide on the best technique on how to perform the surgery. Next, a round ring-like strip of excess areola will be removed on the peripheral part of the operated aroela. The edge of the new smaller areola will be then sutured to the outer normal skin that will create many small pleat around the created areola. If the pleat is too much, the surgeon may decide to include the vertical removal of the skin strip under the areola to avoid too many pleat formation that will resolve itself in a few months.
Areola reduction surgery is an outpatient procedure. Hospital admission is not necessary. The operation will only take one to two hours and can be done during local anesthesia.
Pre Operative Care
Surgeons advised that patients to do the following prior to the areola reduction surgery to avoid post operation bleeding or any complications:
• Inform the surgeon of any allergies, all medical conditions, and any medication that currently taking (both prescription and non-prescription).
• Avoid aspirin and blood thinning medication such as brufen for two weeks to eliminate the chance of post operation bleeding.
• Avoid smoking for two weeks prior to surgery as this may affect your reaction to the anaesthetic and prolong the healing process.
• Inform the surgeon if suffering from hypertension.
Post Operative Care
After areola reduction surgery, patients should expect the following:
• Post Op Dressings. Patients will need dressings and a light gauze bandage which will be worn for several days. Patients will be able to shower the following day but surgeons recommend to apply antibacterial ointment before showering as long as the sutures are not yet removed from the surgical site. Dirty water and sweat should also be avoided to get inside the wound to avoid infection.
• Nipple and Areola Sensation. Extra sensitivity to pain and touch may be felt and will subside in a couple of weeks.
• Stitches. Surface sutures are removed after approximately 5- 7 days after the surgery.
• Recovery. Recovery time will depend on the patient, but most patients can return to work and resume their normal activities within a day or two.
Risks and Complications
Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.
Here are the most common and temporary risks of areola reduction surgery:
• Loss of sensation to the nipple and areola
Minimal pain and scarring are also among the risks particular to this surgery. Surgeons will administer pain killers and any soreness will usually disappear by the second or third day. Scarring will be made as inconspicuous as possible by cutting the smallest incision possible. For some this may be faint, for others it can be quite obvious.
Scar treatments can be discussed with the operating surgeon in advance to know how to take care of them while the scar tissue is forming. Dissolving sutures will be used to minimise scarring so that you won’t need to come back to have sutures removed.
Mothers who want to undergo this treatment should not worry as areola reduction does not normally affect the ability to breastfeed.
Following surgery, your areolas will be balanced and proportionate in size and shape to the nipples. In the first week they will already have a natural and presentable appearance, and over the next few months they will continue to improve. The results will last for the rest of your life.