Reduce an enlarged areola to a proportionate size, with a discreet scar hidden at its border.


Areola reduction decreases the diameter of an enlarged areola, the pigmented skin around the nipple. Areolae can be naturally large or can stretch with pregnancy, breastfeeding, weight change, or after breast surgery. When they look out of proportion to the breast or nipple, reduction restores balance.
The procedure removes a ring of areolar skin around the outer edge and closes it with a fine suture, so the resulting scar sits hidden at the border between the areola and the surrounding skin. It can be performed alone or as part of a breast lift, reduction, or augmentation, where areola size is often adjusted anyway.
It is a focused procedure that refines the appearance of the breast without changing its overall size. The goal is a proportionate, natural-looking areola. All procedures carry risks, and results vary.
It does not change breast size or shape, does not lift the breast, and cannot guarantee identical areolae. The border scar is permanent, though usually discreet.
You will receive instructions on medication, supplements, and smoking. The target areola size is planned for proportion and symmetry, and whether reduction is done alone or with another breast procedure is discussed.
A ring of skin is removed around the outer edge of the areola, and the surrounding skin is brought in and closed with a fine suture at the new border, keeping the scar hidden at the edge of the pigmented skin.
Mild swelling and tenderness settle over the first week. A supportive dressing or bra is worn as advised. The scar at the areola border fades over several months, and most patients return to normal activity quickly.
A smaller, proportionate, natural-looking areola is achievable. The procedure cannot change breast size or shape, cannot lift the breast, and leaves a permanent border scar, which usually settles well.
Areola reduction is generally safe, but all procedures carry risks. Possible risks include:
Tension on the closure can widen the scar or the areola over time. Smoking impairs healing, so smoking cessation is advised.
Areola reduction at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon whose precise tissue handling keeps the border scar as discreet as possible.
Dr. Amoroso plans the new areola size for proportion and symmetry, aiming for a natural, balanced result rather than an unnaturally small areola.
From the first consultation, Dr. Amoroso explains the achievable size, the scar position, and whether reduction alone or a combined procedure suits your goals.
Every areola reduction begins with a focused assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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