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Areola Reduction

Some women would simply prefer to have a smaller area of nipple.

What many people think of as “the nipple” is actually made of two parts, the nipple and the areola. The nipple is the piece that protrudes, and the areola is the dark pigmented skin that surrounds the nipple. Areola reduction surgery reduces this circle of pigmented skin. Large areolas can feel to some, to be out of proportion with the rest of the breast – especially if the patient has had a breast reduction or breast lift, but it happens naturally as well (often after childbirth). There are no medical complications from having large areolas, so the desire to reduce the areola is purely cosmetic, but can really positively affect the patient’s self-esteem and body image, in both men and women. Usually sensitivity is retained, and there is minimal scarring. Patients can get back to everyday life after a day or two.

The after-care program was amazing. I got regular calls and I could go for as many appointments as I wanted. I would 100% recommend Auralia. :-)

Aline. 24th May 2014 (A verified ******* Star review)
(Results may differ from person to person)

I was treated with the utmost care. Every member of staff from the reception to the nurses were so lovely and caring. Dr Salman was so calming and informative. There was no pressure to commit at the consultation

Grace (A verified ******* Star review)
(Results may differ from person to person)

Treatment was great. Was kept very comfortable and had one to one aftercare. Nurses, doctors and staff are all very lovely, pleasant, knowledgeable people.

Lyndsey, Kildare. 10th December 2013 (A verified ******* Star review)
(Results may differ from person to person)

I went for the consultation and was very impressed. I wanted to book right away but I was told to go home and think about it first, there was no hard sale. I liked that!

Marcella, Dublin 20th September 2012 (A verified ******* Star review)
(Results may differ from person to person)

About this treatment

Background to the procedure at Auralia

Areola reduction surgery is performed for both men and women. Disproportionately large areolae (the plural of areola) can be a source of embarrassment for some. Whether the enlargement of the areolae is isolated or found in conjunction with large breasts, sagging breasts or tubular breasts, areola reduction can be an important part of breast enhancement surgery. For men, a large areola is often associated with male breast enlargement (gynecomastia), and has a feminising effect on the appearance of the breasts, and so reduction of the areola can help them achieve the silhouette they prefer.

What to expect at my consultation

Auralia’s chief surgeon is Dr. Salman MB, BCh, BAO, BMedSc. is one of the longest established & most trusted cosmetic surgeons in Ireland and has performed many different kinds of genital repair surgeries at Parkwest Clinic. All your treatment options will be discussed at a pace that suits you. All consultations are private one-on-one sessions with Dr. Salman that normally last 15-20 minutes. He will clearly discuss any potential risks of the procedure and answer any questions you might have.

What is involved with areola surgery

Areola Reduction is a minor surgical procedure. It is often performed under local anesthesia and usually takes less than one hour. The nipple and central portion of the areola remain attached to the breast. The doctor makes an incision around the perimeter of the areola, and only the excess, peripheral areola is removed. Since the pigment is contained in the superficial portion of the skin, only a thin layer needs to be removed. Fine sutures are placed underneath the skin edges to re-approximate the areola to the surrounding skin. A special surgical bra is placed over your breasts after the surgery to ensure that your breasts are held in the best position for healing. The patient can return to their normal activities within a day or two. Sensitivity is usually maintained and all steps are taken to maintain the patient’s ability to breastfeed.

What is the recovery after areola surgery

Recovery time will depend on the patient, but most patients can return to work and resume their normal activity within a day or two. This treatment does not normally affect the ability for women to breastfeed.

Our registered, professional and highly trained medical team are accessible at all times to advise you on your individual surgical needs, to explain exactly what the procedure entails and to assist you with any concerns you may have following your treatment. All patients receive three post operative consultations, however, if a patient feels they need more support and time to address any concerns, we can facilitate this without cost or question

Areola reduction with breast reduction

When large areolae are associated with heavy breasts that cause neck and back pain, areola reduction may be an important component of your breast reduction surgery (Reduction Mammoplasty). Breast reduction surgery is performed to reduce the volume of, and relieve the symptoms associated with, enlarged breasts. Not only will breast reduction reduce your breasts’ volume, it will also lift the breasts, and reposition the nipple and areola higher on the breast mound. The nipple and areola remain attached to the breast tissue, but while they are being moved, reduction of the areola is very easy to include with no additional scars.

Areola reduction with breast lift

For patients scheduled for a breast lift, the enlarged areolae associated with saggy breasts can be corrected during your procedure. The incision necessary for your breast lift is sufficient for areolar reduction surgery. Much like when large areolae are treated during breast reduction surgery, no additional incision is needed. The areolae are reduced and repositioned, without being detached from the underlying breast tissue, thus preserving maximal circulation and sensation.


Patient care has always been at the forefront of everything we do, this is why we are a leading cosmetic surgery provider in Ireland. We believe that ‘aftercare’ is just as important a part of the entire cosmetic treatment procedure as the treatment itself. With Auralia, you can be rest assured that all your aftercare needs will be completely fulfilled, providing you the support you need for a fast and stress-free recovery.

Cosmetic surgery aftercare is a very crucial part of recovering correctly and the success of your surgery will depend on how well you look after yourself afterwards as advised by your surgeon. At Auralia our aftercare plan is individually tailored to each patient’s procedure and requirements in order that the quickest possible recovery is achieved.

We are proud to offer fully comprehensive and inclusive aftercare, so you can be reassured you will always be in the very best, experienced medical hands. At Auralia you are a patient for life. Once we meet you we will guide you throughout your surgical journey to a new you.

All your appointments with Auralia, from your initial consultation to treatment to your aftercare consultations, are carried out at our clinic in Park West, Dublin. We have state of the art operating facilities and a six-bedded recovery area, including two elevated needs beds, with a central nurse’s station, conducive to all your recuperation and recovery needs.

Our Irish based surgeon is contactable day and night – 24 hours a day – if you need him.


What causes an enlarged areola?The areola naturally enlarges, and may darken, in response to the hormones released during puberty and pregnancy. Often the areolar enlargement seen during pregnancy remains, even after lactation ceases and may persist even when the breast loses volume. For men, a large areola is often associated with male breast enlargement (gynecomastia).

Can I breastfeed after areola reduction?This treatment on its own does not normally affect the ability for women to breastfeed. If you are planning on having more children, and would like to breastfeed, you may consider waiting until after that before you have your areola reduction, simply because your breasts are likely to change shape quite a bit during pregnancy and breast-feeding. Talk to your surgeon about what your plans are and you can discuss what’s right for you.

What is the recovery after areola surgery? Recovery time will depend on the patient, but most patients can return to work and resume their normal activity within a day or two

What are the risks or areola reduction?All surgeries, no matter how safe, carry some amount of risk, including infection, scarring and pain. You will have a chance to talk frankly with your surgeon about any worries you might have, and any possible risks will be clearly and honestly communicated with you before you make any decisions. You’ll also be given a copy of everything in writing, so you can take them home and go through them at your own pace. We’re also here for you if you have any questions.

Download our brochure

If you would like to download or print a copy of our brochure which details the full range of tailored breast surgery treatments available at Auralia, please click here. 

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