A breast lift, also called mastopexy, is designed to restore youthful shape and firmness to the breasts by removing excess skin and repositioning breast tissue. While most people associate a breast lift with lifting sagging breasts, the procedure also directly affects the size and shape of the areola. Double board-certified Scottsdale plastic surgeon Dr. Marc Malek frequently performs breast lifts for women who want not only a perkier breast contour but also areolas that are more proportionate and youthful. Here’s how the procedure reshapes the areola and restores balance to the breast.
Why Areola Shape and Size Change
Pregnancy, breastfeeding, weight fluctuations, and aging can all stretch breast skin and cause the areolas to enlarge or take on an oval shape. A breast lift corrects this by repositioning the nipple and areola to a higher, more youthful location. At the same time, the areola can be resized to restore harmony between the breast mound and areola.
Surgical Techniques Involving the Areola
Depending on the degree of lifting required, Dr. Malek may recommend one of the following incision patterns:
- Periareolar incision: A circular incision made around the areola, often used for minor lifting and reshaping.
- Lollipop incision: Extends around the areola and vertically down to the breast fold, allowing for more significant lifting and contouring.
- Anchor incision: Encircles the areola, travels down, and runs along the breast fold, used for the most advanced reshaping.
With each of these approaches, the areola can be reduced in size if it has stretched over time. Dr. Malek is known for delivering results that appear seamless and in harmony with each patient’s anatomy.
What Happens to the Areolas After a Lift
Following a breast lift, patients often notice that the areolas appear smaller, rounder, and more proportionate. Temporary changes in nipple sensation or minor asymmetry are common during the early stages of recovery but typically resolve as healing progresses. Most swelling and bruising subside within a month, at which point the new areola size and placement look refined and natural.
Combining a Breast Lift with Other Procedures
For some women, the most balanced results come from pairing a breast lift with breast augmentation or reduction. With augmentation, resizing the areolas ensures they remain in proportion with the enhanced breast volume. With reduction, areola adjustments help refine contour and symmetry. Dr. Malek will guide you through these options and create a surgical plan tailored to your goals.
Schedule Your Consultation with Dr. Malek
If sagging breasts or stretched areolas are affecting your confidence, a breast lift may be the most effective way to restore youthful shape and proportion. At Preferred Plastic Surgery in Scottsdale, double board-certified plastic surgeon Dr. Malek offers personalized treatment plans designed to enhance breast contours while refining areola shape and size. Schedule your consultation today to learn how Dr. Malek can help you achieve natural, lasting results.