The periareolar or concentric circle procedure uses an incision all the way around the areola.  A second circular incision is made outside of the areola.  The breast tissue is removed using the space between the incisions.  The larger incision is then narrowed and closed to the smaller incision resulting in a smaller areolar with a scar around its periphery. This procedure works well in patients with small to B cup breasts, moderate excess of skin, larger areolar, and no ptosis (droopiness) to the breasts. It usually leaves nipple/areolar sensation intact.  It usually requires the use of a drain and is the procedure choice that is most likely to require a revision.