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Does the size of the areola normally decrease with surgery...

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Offline CodySockeye

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Does it normally decrease (diameter) just because of gland removal? If so, how much?

Linkback: https://www.gynecomastia.org/smf/index.php?topic=14965.0

Re: Does the size of the areola normally decrease with surgery...
« Reply #1 on: July 17, 2008, 11:03:43 PM »
If enough tissue is removed, then there will always be a reduction of the areolar diameter -- naturally, without any help from the surgeon! 

In my experience, the areolar diameter will diminish by about 15-20% overall -- but this will vary with individuals.

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
815 Park Avenue
New York, New York 10021
Telephone:  (212) 570-6080
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi

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DrBermant

Re: Does the size of the areola normally decrease with surgery...
« Reply #2 on: July 18, 2008, 07:38:42 AM »
Does it normally decrease (diameter) just because of gland removal? If so, how much?

The areola usually expands with bigger breasts.  Like a balloon, with deflation (surgery) there is a reduction in diameter unless there is a layer of remaining gland after gynecomastia surgery.  Roll your cursor over that text or image and you can see a drawing of gland that can be left behind after surgery.  I have seen many examples of gland adherent to the muscle areola complex that keeps the areola puffy and larger diameter.  That is why I prefer to target the gland first with my Dynamic Technique for Gynecomastia.

Check out the many before after pictures of this  Areola / Nipple Reduction Gallery, Areola Reduction Picture Gallery, and Pictures of Areola Reduced with Gynecomastia Surgery.  These results are typical for my sculpture of my patients.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Chest Surgery

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DrBermant

Re: Does the size of the areola normally decrease with surgery...
« Reply #3 on: July 19, 2008, 03:22:03 PM »
Does it normally decrease (diameter) just because of gland removal? If so, how much?

The areola usually expands with bigger breasts.  Like a balloon, with deflation (surgery) there is a reduction in diameter unless there is a layer of remaining gland after gynecomastia surgery.  Roll your cursor over that text or image and you can see a drawing of gland that can be left behind after surgery.  I have seen many examples of gland adherent to the muscle areola complex that keeps the areola puffy and larger diameter.  That is why I prefer to target the gland first with my Dynamic Technique for Gynecomastia.

Check out the many before after pictures of this  Areola / Nipple Reduction Gallery, Areola Reduction Picture Gallery, and Pictures of Areola Reduced with Gynecomastia Surgery.  These results are typical for my sculpture of my patients.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Chest Surgery

I have just added some additional images to demonstrate this issue.

Here is a balloon demonstration of nipple / areola shrinkage typically seen with my gynecomastia surgery.  When a breast gets bigger, so does the diameter of the areola nipple complex.  Remove tissue from the breast and it is like this balloon deflation.  However, not all tissues shrink the same.  Tissue over stretched, older patients, scars, and gland remaining after gynecomastia surgery can limit this decrease.  Here is a demonstration of deflation with areola staying the same size.  That is why I prefer to target this gland first with my surgery.

Take your time to browse through the galleries of nipple areola pictures before and after gynecomastia surgery to see actual results for my patients.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Male Breast Reduction

Re: Does the size of the areola normally decrease with surgery...
« Reply #4 on: July 19, 2008, 06:51:37 PM »
They were alot different right after surgery, but now that scar tissue has formed they have stretched again somewhat.
Asked my doctor about it and he said they will shrink again in time & once the scar tissue goes away, so i'm just playing the waiting game now.  Hopefully its all good by southern hemisphere summer, i.e. December.
Surgery done 18th March 2008


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