What It Is

Nipple-areola reduction is a surgical procedure that reshapes or reduces the size of enlarged nipples or areolas for improved proportion and aesthetics. It can be performed alone or in combination with other breast surgeries such as augmentation, lift (mastopexy), or reduction.

Enlarged nipples or areolas may occur due to genetics, breastfeeding, pregnancy, aging, or weight fluctuations. In Korea, surgeons specialize in using precise incision techniques and scar-minimizing methods to create natural, balanced results with minimal downtime.

Why It’s Done

Patients undergo nipple-areola reduction because:

• The nipples or areolas are too large, stretched, or protruding.
• Asymmetry between the two breasts affects appearance.
• They feel self-conscious in fitted clothing or during intimacy.
• They want cosmetic refinement to complement other breast surgeries.

Good candidates include:

• Women or men with enlarged or asymmetrical nipples or areolas.
• Patients with good overall health and realistic expectations.
• Those seeking both functional and cosmetic improvement.

Alternatives

• Supportive bras or clothing: May conceal but not permanently correct enlargement.
• Non-surgical treatments: Not effective for reducing nipple or areola size.
• Observation: In cases where asymmetry or enlargement is mild and not bothersome.

Preparation

Before nipple-areola reduction in Korea, patients will:

• Have a consultation to determine the desired size and shape.
• Undergo breast imaging if combined with other procedures.
• Stop smoking and alcohol 2–4 weeks before surgery.
• Avoid blood-thinning medications and supplements.
• Plan for a short downtime since recovery is usually quick.

How It’s Done

• Anesthesia: Local anesthesia with sedation or general anesthesia, depending on the procedure.
• Incision: Around the edge of the areola (periareolar) or within the nipple for minimal visibility.
• Reshaping: Excess tissue is removed, and the nipple-areola complex is resized.
• Closure: Fine sutures are used to reduce scarring.
• Duration: 1–2 hours, often performed as an outpatient procedure.

Recovery

• First week: Mild swelling, bruising, and sensitivity are common.
• Dressings: Light dressings or surgical tape are applied for protection.
• Return to activities: Most patients resume normal activities in 2–3 days; strenuous activity avoided for 2–3 weeks.
• Final results: Natural, proportionate nipples and areolas within 4–6 weeks, with scars fading over time.

Possible Complications

• Asymmetry or uneven healing.
• Temporary or permanent changes in nipple sensation.
• Visible scarring, though usually hidden at the areolar border.
• Infection or delayed healing (rare).

Treatment Options in Korea

Diagnosis

Korean surgeons use physical examination and patient consultation to determine the appropriate reduction method and whether it should be combined with other breast procedures.

Medical Treatments

• Non-surgical options are not effective for permanent reduction.

Surgical or Advanced Therapies

• Periareolar reduction to decrease areola diameter.
• Nipple reduction to shorten or reduce protrusion.
• Combination procedures for patients with both enlarged nipples and areolas.
• Integration with augmentation, lift, or reduction for complete breast reshaping.

Rehabilitation and Support

• Scar management with silicone gels or fractional laser therapy.
• Regular follow-ups to monitor healing and symmetry.
• Guidance on supportive bras and breast care after surgery.
• International patients benefit from Korea’s refined surgical techniques, scar-minimizing methods, and personalized aftercare support.