NAR Nipple / Areolar Reduction Surgery
Procedure The areola or the nipple can be reduced by excising a ring of skin. An areolar reduction removes areolar skin, leaving a scar between skin and areola. An areolar diameter between 40mm and 45mm is considered to be aesthetically pleasing. This procedure is part of a breast lift and a breast reduction. A nipple reduction removes a cuff of skin from its base and pulls the tip of the nipple downwards. The wounds are repaired with sutures under the skin which do not require removal and dissolve within four months.
Scars Circular around the areola or around the nipple base
Operation time 1.5 hours
Anaesthesia Local
Hospital Stay Day Surgery
Benefits Aesthetic, Psychological, Functional, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Wound separation, Slough, Necrosis of nipple or partial areola, Pain, Numbness, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Aesthetic imperfections, Unfavourable shape, Need for further surgery, Allergic reaction, Flat areola in areolar reduction, Loss of breastfeeding ability in nipple reduction. N.B. Most complications are unlikely. Serious risks or death are rare
Risk factors Smoking, overweight, high blood pressure, bleeding tendency (Stop herbal products or supplements for two weeks before surgery), diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, supportive garments / dressings
Discomfort 1 - 2 weeks
Bruising 2 - 3 weeks
Recovery Light activities after 1 week, Physical work / sports / sex after 6 weeks
Acceptable appearance 2 - 4 weeks for most patients (This is subjective)
Final result 6 -18 months
Alternatives No Surgery, Protective bras

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