Genetics & Lifestyle

Most women today are aware of Breast Augmentation and Breast Lift procedures to change the size, shape, contour and position of the breast, but few know about Areolar surgery to change the size and shape of the Areola in a safe and predictable manner. The Areolar can change due to genetics, lifestyle, breast feeding, weight shifts and normal aging. Nipple and Areolar surgery is very common today as women are more health and body conscious. Dr. Rudderman uses only the safest and most reliable techniques to achieve truly natural looking results.

How Women Benefit from Areolar Surgery

  • Areolar surgery reduces the Areola size to balance it with the breast
  • Areolar surgery improves symmetry of the Nipple/Areolar area
  • Areolar surgery reduces Areola puffiness (Areolar Herniation)
  • Areolar surgery removes prominent bumps (Montgomery tubercles) often caused by Nipple stimulation
  • Areolar surgery can mimic the effect of a slight Breast Lift
  • Areolar surgery results in a more youthful looking breast

Many women find that Areolar surgery restores the younger looking breast they had before pregnancy, childbirth and breast feeding. Dr.Rudderman’s delicate techniques during surgery and special techniques following Areolar surgery, during the healing phase, achieve great healing results rarely requiring scar revisions.

Dr. Rudderman is one of Atlanta’s surgeons of choice. He is specialized in many complicated problems of the breast & he employs delicate, advanced techniques to achieve the most natural looking results possible.

Good Candidates for Areolar Surgery

Do you have any of the following concerns?

  • Overly large Areolae
  • Undesirable shape changes occurred after pregnancy
  • Your Areolae are too large for your breast size
  • Breasts and Areolae have changed in shape & weight
  • Age related changes are not aesthetically pleasing
  • Areolae are too puffy, prominent, asymmetric or unbalanced

If you answered yes to one or more of these concerns, you could be an ideal candidate for Dr. Rudderman’s Areolar Surgery. Good candidates should be in otherwise good health, with no history of breast disease and untreated illness or medical condition that can impair normal healing.

Areolar Surgery Consultation

Dr. Rudderman believes the consultation is critical for you and him. The consultation includes the following: a thorough education of your condition, your options, desires, realistic expectations and a personalized treatment plan. All of your questions will be answered and your concerns addressed. Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. From the consultation evolves…trust, respect, mutual understanding and a personalized treatment plan.

After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman…that difference means understanding your desires & goals & providing a level of service that places safety & comfort alongside predictable & pleasing outcomes.

Areolar Reduction Procedure Overview

Dr. Rudderman uses techniques that allow for the best incisional healing. Also, his patients rarely experience loss of or change in sensation or disruption in the milk ducts that allow for breast feeding.

The Areolar reduction involves an incision around the Areola followed by removal of a variable amount of breast tissue. This technique of removal resembles a donut shape resulting in a fine scar that totally surrounds the Areola. This surgery can be done with light anesthesia and healing time is quick. Most patients return to work the next day.

Many patients choose to have this done in tandem with other breast procedures, such as Breast Lift or Breast Augmentation, to achieve the most pleasing outcome and to do it all under one anesthesia. Dr. Rudderman will help guide you through your choices to achieve the results you want and deserve.

Areolar Reduction FAQ’s

What is AREOLAR Reduction surgery?

Areolar Reduction surgery involves reducing the size (diameter) of the areolae (the pigmented part around the nipple). Areolas may be enlarged during puberty and breast development, and frequently become enlarged after pregnancy. Areolas often are asymmetric in shape and size when enlarged.

Why treat enlarged areolar?

Enlarged areolas often make the breast look unbalanced, and older than your actual age. Enlarged areolas can be associated with a puffy appearance with the areola more prominent than the remainder of the breast. Enlarged areolas that are significantly asymmetric in some cases may be associated with a tubular type breast. Enlarged areolas can be problematic in clothing and difficult to cover in some bathing suits and work out clothing.

How is Areolar Reduction surgery done?

Precise incisions are made to reduce the excess tissue of the areola and to improve the position and symmetry of the areola as well as shape the areola to a more youthful and appropriate size relative to the breast. Absorbable sutures are used to complete the surgery. A light dressing for cover is applied. The resulting areola typically heals with minimally visible incisions. Most all areolas have some contractile tissue that when stimulated may change the shape of the areola. This action is normal, and may be more visible in some patients. This effect can be discussed during your consultation.

Will areolar reduction surgery effect sensation in my nipples?

Removal of excess areolar tissue rarely impacts the nipple sensation.

Will I be able to breast feed after Areolar Reduction surgery?

The areolar tissue does not contribute to breast milk during breast-feeding and areolar reduction alone will not impact your ability to breastfeed. However each pregnancy is different and no one can predict whether or not you will be able to breast feed during a future pregnancy

Will I have a board certified anesthesiologist for my Areolar Reduction surgery?

Yes. All cases are supervised a Board Certified medical doctor who has specialized in anesthesiology.

Does Dr. Rudderman perform the entire Areolar Reduction surgery?

Yes, he performs all of his patient’s surgeries. Many surgeons use assistants to suture or perform part of the operations. Dr. Rudderman performs the entire operation on every patient.

Is the surgery done in an accredited facility?

All of our surgeries are performed in a fully accredited surgery facility using state of the art technologies and a world-class staff with all the comfort and safety factors as a hospital surgery suite.

Will there be any pain with Areolar Reduction Surgery?

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that maximize comfort during his surgical procedures. Many patients will take Tylenol only, however some pain medications may be taken for relief for1-2 days after surgery.

How will I look after Areolar Reduction Surgery?

Most patients will look close to normal right after surgery. Some patients may look nearly fully normal as the incisions healing process continues during the first few weeks following surgery. Most incisional scars continue to mature and improve over a 9-12 month time frame.

How long before I can exercise after Nipple Reduction surgery?

You will need to avoid all rigorous, strenuous activities for a 1-2 weeks until healing is adequate and Dr. Rudderman tells you it’s ok. Aerobic exercise increases your heart rate and blood pressure and can cause the operated area to swell delaying your healing. We will see you frequently during your healing process to help you return to your normal activity as soon as possible. Exercise can be an important part or recovery, and we follow your recovery closely to help you reach your goals.

How long before I can return to work after my Areolar Reduction surgery?

Dr. Rudderman’s patients most often return to desk jobs the next 1-3 days. He can give you a time frame specific to you during your consultation.

Will insurance pay for Areolar Reduction surgery?

Areolar reduction surgeries are considered to be cosmetic procedures. Cosmetic procedures are not covered by insurance.

Is financing available for Areolar Reduction Surgery?

Yes. Financing is available through Care Credit for all the breast procedures Dr. Rudderman performs.

Will I need someone to take care of me after my Areolar Reduction surgery?

You will need someone to drive you to and from your surgery, stay during surgery and remain with your overnight (24 hrs) after you have had anesthesia. Your follow-up visit will usually be within 24 hours, and you should be able to drive to this appointment if you are not taking pain pills.

  • Dr. Rudderman and his staff made the experience easy and comfortable. They were realistic communicating surgery expectations, expected pain levels and down time from work. Nurses were informative and friendly and wait times minimal. I also liked the fact that Dr. Rudderman does all his own work and doesn't let other less experienced people do parts of the surgery the way other doctors may. I'm only one week out of the surgery, but I am very satisfied with the results so far.

    Susan Parker | Atlanta, GA


I agree to the Terms of Use



Dr. Rudderman’s unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form. He understands that the body changes with time – as do desires. His primary goal is to deliver the best possible plastic surgery … specifically matched to each patient…in a safe environment with ultimate respect for every single individual…their concerns and goals. LEARN MORE »

“The best plastic surgery results must give each individual the opportunity to feel comfortable now and in the future…”

Dr. Randy Rudderman


I agree to the Terms of Use