Dr. Farbod Esmailian is a Board Certified Plastic Surgeon who frequently performs a comprehensive range of surgery procedures for cosmetic breast enhancement at his state-of-the-art facility in Orange County, California. Dr. Esmailian’s dedication to helping his patients achieve their goals is evident in that he offers his patients compassionate, personalized care.
The Nipple And Areola Reduction Procedure With Dr Esmailian In Orange County
Nipple and areola reduction surgery is typically performed under general anesthesia or local anesthesia with or without sedation. Dr. Esmailian begins by making small incisions around the nipple in what’s known as the “top hat flap” incision technique and/or areola to remove excess tissue and reshape the area.2
Two issues can be addressed with nipple reduction surgery: the nipple projection and/or the nipple width. Some patients have issues with one and not the other and some desire both the projection and the width to be addressed.
Since Dr. Esmailian only removes the extra, peripheral areola, he leaves the nipple and the areola’s central portion attached. The pigment rests within the superficial portion of the skin; therefore, removing a thin layer of skin is all that is necessary to accomplish an areola reduction. Once this excess skin is excised, Dr. Esmailian uses fine sutures to re-attach the areola that remains. The resultant scar is placed between the normal skin and the pigmented skin of the areola in a circumferential fashion.
The sutures are placed internally and will absorb over time, so there is no need for the removal of sutures at a later date. The final step is placing tape over the incisions, with the entire procedure taking about one to two hours.
