Enlarged areolas are most often the result of pregnancy and breast-feeding. If the diameter of the areola is very large, it can look out of proportion with the rest of the breast. Areola reduction is always done when a breast reduction or breast lift is performed, and this heals very well because of the “lollipop” shaped closure. This closure takes all of the tension off of the nipple and minimizes scarring. Areola reduction alone is usually not recommended, as it can lead to a star-burst pattern of scarring over time with even more stretching of the areola. If you have concerns about the size of your areola, it is best to set up an appointment with Dr. Reid or Dr. Gordon to find out if any surgical option is available to treat your concerns.