Nipple and Areola Reduction
Surgeon: Dr. Jugenburg

Enhancing the Aesthetic of the Breast

While many women place a lot of attention on breast enlargement and reduction, nipple and areolar reduction procedures offer a way to improve the aesthetic appeal of the breasts using a relatively simple surgical procedure.

The nipple and areola together make up one of the key cosmetic units of the breast, and can often be a source of much unhappiness for women.

Excessively large areolas, puffy or protruding areolas andlarge, excessively long or droopy nipples can be corrected using several different techniques. Nipple and areola surgery greatly enhances the appearance of the breasts and offers great satisfaction to patients.

Are You A Candidate for Nipple and Areola Reduction Surgery?

If you have an excessively large areola due to genetics, age, and pregnancy or breast-feeding, or have large and droopy nipples, nipple and areola reduction surgery is the procedure of choice.

Reasons to consider the surgery include:
  • Areolas that are excessively large and out of proportion to the breasts
  • Asymmetry between the left and right nipples
  • Stretching or irregularity of the areolas after previous breast surgery

You should be in good general health, and quit smoking for two weeks prior to surgery. This helps to ensure that you will heal properly

The best way to determine if you are a candidate for a nipple and/or areola reduction procedure is to schedule a consultation with Dr. Jugenburg.

Complementary Procedures: Breast Lift or Augmentation

Patients often choose to have the nipple and areola reduction surgery combined with a breast lift, if the breasts are sagging, or breast augmentation when additional breast volume is needed. When the nipple and areola reduction is performed in conjunction with complementary procedures, you are able to address several different problems with one surgery.

Breast lift surgery will make your breasts firmer and more uplifted. The position of your areolas and nipples will be enhanced.A new breast lift procedure performed by Dr. Jugenburg differs from the traditional breast lift in that unlike a traditional breast lift which simply pulls up a sagging breast, Dr. Jugenburg’s novel technique rebuilds the breast tissue on the inside. The result is a breast lift that sits better, looks fuller, and lasts longer than a typical breast lift result.

Candidates for breast lift surgery are women who have:
  • Breasts that are pendulous, but of satisfactory size
  • Breasts that lack substance or firmness
  • Nipples and areolas that point downward, especially if they are positioned below the breast crease

Breast augmentation adds volume, fills in loose skin, and improves shape and symmetry of your breasts. It improves body proportions and boosts your self-confidence. It is a relatively safe, simple and quick procedure. The recovery is a matter of days and pain and discomfort are minimal.

Breast augmentation can offer women:
  • Review your medical history and any medications you are taking
  • Discuss the procedure and any related procedures
  • Provide recommendations based on your needs and goals

The best way to determine if these complementary procedures are appropriate in conjunction with a nipple areola reduction is to discuss it with Dr. Jugenburg during your consultation.

The Surgery

Nipple and areola reduction surgery is usually performed under local anesthesia, and takes about one hour. If additional procedures are performed at the same time, the surgery will take longer.

For nipple reduction, an incision is made on the nipple itself. For areola reduction, an incision is made around the outside of the areola. These incisions heal quickly.

After the incision is made, Dr. Jugenburg will remove excess tissue from the area of the incision. Sutures are then used to close the incisions, and gauze dressings are placed of the breast. A special surgical bra is usually placed over the breasts to make sure that the breasts are held in the proper position for healing.

The Recovery

Nipple and areola reduction is well tolerated by patients. There will be some swelling and discomfort, which can be controlled with oral pain medication prescribed by Dr. Jugenburg. You will need to sleep on your back during the first week or so following surgery, and wear the special surgical bra, even when you sleep.

You may experience some numbness in the surgical area, which is normal and usually disappears within 6 weeks. Most patients return to work or school within a day or two after surgery. Driving can be resumed within several days.

It’s important to avoid strenuous exercise for at lest 2-3 weeks. Gradually resuming exercise is encouraged after that time. The results will be permanent, but be aware that your breasts may change due to the aging process.

Am I a suitable candidate for this surgery?

If you have excessively large areolas, or have long, droopy nipples, you are a good candidate for this surgery.

What happens in the operating room?

An incision is made in the nipple, or around the outside of the areola, and excess tissue is removed. Sutures are placed, and bandages are placed over the breasts.

Will there be scarring?

The incisions are small and leave very small scars, which will fade over time.

What is the recovery process?

Most patients can generally return to work in a day or two. It’s important to avoid any strenuous activities for 2-3 weeks following the surgery.

Are the results permanent?

Yes, nipple and areola reduction is permanent. Just be aware that the natural aging process may change the shape of the breast over time.

Are there any complications associated with nipple and areola reduction?

As with all cosmetic surgeries, there are some risks involved. These risks include bleeding, infection and collection of fluid under the skin, swelling and blood clots. Our operating suite is state-of-the-art, and we do everything we can to minimize the risks associated with surgery. Most importantly, Dr. Jugenburg and his team have various protocols in place to prevent complications from occurring.


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