Areolar Reduction

Areolar Reduction

 

The areola is the circular pigmented skin surrounding the nipple. Areola varies in size, shape, and colour in different individuals. Besides, the areola color and appearance may change due to pregnancy, breastfeeding, and aging.

 

Some patients are not happy to have large areola. The areolar reduction is minor surgery to reduce the diameter and size of the areola. The areolar reduction can also correct the irregular shape of the areola to the usual round shape. Since areolar reduction removes some redundant skin in the breast, another beneficial effect of areolar reduction is skin tightening and a certain extent of breast lifting.

 

 

 

Preparation

  1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
  2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
  3. Stop the following medications and supplements from one week before surgery until one week after surgery.
    1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
    2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
  4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

 

 

 

Surgery

Duration: 2 hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required

Recovery*: Back to work in 3-7 days, light exercise after one week, heavy exercise after 3-4 weeks. *The actual speed of recovery may vary from person to person.

Technique: The desired size and shape of the areola is determined and marked. The surgeon makes incisions around the circumference of the areola to remove excess areola and skin. The surgical scar is located along the rim of the areola and usually is not conspicuous.

 

 

 

Post-operative Care**

  1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that. Post-operative pain is usually minimal.
  2. General care:
    1. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
    2. Adequate rest and adequate sleep are helpful for a speedy recovery.
    3. Be relaxed and calm. Contact the clinic if there are any queries.
  3. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
  4. Wound care: Leave the wound dressing on until coming back for review. Change the dressing if it gets dirty or soaked. After the removal of the wound dressing, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.
  5. Physical activity: Avoid heavy physical activity and exercise for at least one month.
  6. Follow-up: Come back one week after surgery for review and removal of sutures.
  7. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, contact the clinic/doctor for advice immediately.

 

**The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

 

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