Areola Reduction in Men

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The brown area surrounding the nipple in men and women is called areola.  Another definition: Pigmented areas surrounding your nipples. Prominent nipples and swollen areolas can be a cause of shame for men. The size of nipples is reshaped or reduced to reveal a more masculine breast. This procedure is called areola surgery.

Although it is a relatively minor procedure, reducing the nipple can have a significant effect on a man’s self-esteem and self-respect. Men may be ashamed of or feel bad about the large colored area in their breasts.

Areola Reduction in Men - Zty Health Istanbul - Turkey

Causes of enlarged areola

Prominent nipples or areola are most commonly caused by genetic predisposition. Certain medications, steroids, or weight fluctuations (rapid weight loss and gain) may also play a role. Although it affects men of all ages, it is more common among young men.

Many people confuse areola (dark skin around the nipple) with the nipple (projected part of the chest).  The diameter of the colored area is reduced. The part we refer to as nipple may be reduced. Although they are different things, they are usually performed in the same surgery. They are generally combined with gynecomastia surgeries.

Eligible candidates

Men with large or saggy nipples are the best candidates for surgery. Patients should have good general health and their blood pressures (blood values) should be kept under control (within the normal range). Candidates who smoke should stop/suspend smoking before the procedure and even better, quit smoking.

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The Procedure

It is performed with general or local anesthesia. You will be discharged on the same day. There may be mild and short-term pains after the operation. Swelling, slight bruising or tenderness may occur in the operated area. But all of these discomforts are temporary.

Due to the reduction of the areola, a feeling of tension may be observed in the breast area. But patients can generally return to their normal social or business life on the same day.

Risks of the Surgery

Like any other surgery, infection, bleeding or skin damage are possible. With experienced surgeons, these risks are almost nonexistent. By choosing a good plastic surgeon, it will be simple to get rid of this problem in a short time.

Sensory loss: During the areola reduction surgery, doctors leave the center of your nipple in place to reduce the risk of sensory loss. You may experience a temporary loss of sensation during the recovery process, but rest assured it is temporary.

Scarring: There will be a scar circulating along the outer line of your areola and the thickness of these scars varies. Sometimes the scar disappears so much that it is almost invisible, but at other times, it is noticeable. Scars are usually darker or lighter than the surrounding skin. Some scars can be improved with areola tattoo.

Lactation insufficiency: When your doctor removes a piece of your areola, the risk of damaging your mammary ducts exists. However, it is rare.

Infection: By carefully following your post-surgery instructions, you can greatly reduce your risk of infection.

Post Areola Surgery

Immediately call your doctor if you experience any of the following:

  • fever
  • severe redness or inflammation
  • sudden increase in pain
  • discharge from the incision site
  • unusually slow recovery

The recovery of areola reduction surgery is fast. Although you experience swelling and bruising, you can usually return to work within a few days.

Possible expected situations after surgery

  • We expect a slight increase in pain in the initial post-operative period
  • Take over-the-counter pain relievers such as ibuprofen (Advil)
  • Use a surgical bra or soft sports bra for a few weeks
  • Refrain from sex in the first week
  • Avoid physical chest contact for three to four weeks

Avoid lifting heavy objects or doing any strenuous cardio during the first few weeks