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Dr. Linder's Blog

Aerolar Reduction Beverly Hills

Posted On: December 22, 2009 Author: The Office of Dr. Stuart Linder Posted In: Breast Reduction, Home

Aerolar Reduction

Areolas can be reduced in size when they are greater than 4.2 cm.  In general, as Board Certified Plastic Surgeons, we vary the range of nipple areolar complexes from 3.8 to 4.4 cm in size, often associated with the proportionality of the woman’s breast and figure.  We use 4.2 cm cookie cutters or 42 mm cookie cutter patterns in breast lift and breast reduction procedures in order to remark and reduce the nipple areolar complex to a smaller uniform size.  I personally use 4.2 cm on the majority of my breast reduction and breast lift surgeries.

Breast Reduction Before and After Photo

Aerolar Breast Reduction Before and After

Reducing an areola that is quite large, for example, 6 to 8 cm down to 4.2 without a vertical incision, although may be easy to do, the final results may be quite poor.  The reason is areolar reduction performing a Benelli or round block technique, often leads to pin cushioning around the areolar which thereby may lead to radiating sun scarring appearance as well as widespread scars.  As a result, I frequently persuade my patients not to undergo areolar reductions without a vertical component or a vertical lift with the areolar reduction.  The vertical lift actually will reduce the wide-spreading of scars around the nipple areolar complex by eliminating tension around the areola and bringing it to below the nipple areolar complex at the 6 o’clock position in a vertical fashion in which the scars usually spread less.