My Areolas Are Big

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My Areolas Are Big
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Home / Blog / My Areolas Are Too Big – Can Their Size Be Altered?
The “areolar complex” is a term that includes the nipple and the pigmented (dark) area around the nipple, termed the areola. The size of the areola varies widely from patient to patient. Patients frequently express concern about the size of the areola either being too large or too small. One aspect that is considered is the size of the areola in comparison to the breast size. If the breast is small, then a smaller areola appears in proportion. If the breast is large, then a larger areola appears in proportion. The average size of the areola is 35 to 45 mm in diameter. It is also very common for the areola to be asymmetrical—that is, the right and left areolas are not exactly alike. If the size of the areola is larger or smaller than this range, it is not an abnormality, but is considered an anatomic variation. Following pregnancy it is common for the areola to become larger as a result of the breast being engorged with milk. Once stretched from pregnancy, the areola may not return to pre-pregnancy size. While some women may have very little changes in the breast with pregnancy, this is the exception rather than the rule.
Patients frequently ask: “Can my areolas be made smaller?” or “Can my areolas be made larger?” The answer, in most circumstances, is yes. Making the areola smaller or larger can be done in conjunction with a breast lift or a breast reduction , or can be done as an isolated procedure. Making the areola smaller is commonly done during breast lift or breast reduction procedures. Prior to the procedure, the desired size and shape of the areola is discussed with the patient. In most patients, the nipple areolar complex remains attached to the breast and it is repositioned as it is reduced. If a breast lift or breast reduction is not needed or desired, then the areola size can be changed with a local procedure (just involving the areola). This procedure is termed the circumareolar or “Donut” procedure. In short, the size of the areola can be altered with multiple procedures to help reach the size desired by the patient.
If you are interested in areolar alteration and/or would like more information, we encourage you to schedule a consultation with Stephen Herring, MD. Dr. Herring is a Board-Certified plastic surgeon renowned for his personal approach to body contouring procedures—and he is happy to treat patients who live locally or who are traveling from out of town . Simply contact our office today..


What It Means If You Have Big Areolas
By Christina Wright — Written on Apr 17, 2021
"Size doesn't matter" is something every man has heard in his life, often whilst sitting on the edge of his bed being patted platonically on the back in a "there, there" motion. You may not realize, however, that many women have curiosity and/or concerns about the size of certain female body parts — our areola, the pigmented area of the breast surrounding our nipples.
From the time we start maturing and developing as young girls, we all have at one point or another become hyper-aware of our areola. You may have asked yourself questions like, "Why do I have huge areolas? Are they bigger than average? Do women with big nipples and big areola face potential health issues?"
At that certain time of the month (i.e., when you have your period), your areola might be extra sensitive or sore. And if you become pregnant, you may find yourself with big, dark areolas you've never seen on your body before. Heck, some little hairs might start growing around the perimeter at times. (Plucking or laser hair removal is an easy fix to get you out of your hairy situation — just a little tip while we're on the subject).
If you have questions regarding your areola — be they chest-pepperonis, dinner plates, or half dollars — we've got the answers to the questions that you may be too shy to ask.
If you've come this far and you don't exactly know what we're talking about, your areola is the colored area surrounding your nipple, the center portion of the breast which is linked to the mammary glands (where milk is produced).
Just like breasts themselves, there are many different types of areolas in relation to shapes, sizes and colors from light pink to black areolas. Think of them as unique snowflakes.
“This is no different than the various shapes of eyes or colors of eyes from person to person,” Susan Hoover, M.D., F.A.C.S., a surgical oncologist in the Breast Oncology Program at Moffitt Cancer Center in Tampa, Florida, told SELF Magazine .
If you're seriously self-conscious about your areolas, there is a procedure you can undergo to change their shape and size.
“It is quite normal for areolas to come in different shapes and sizes," explains board-certified plastic surgeon Dr. John Paul Tutela . "I would not be concerned about the health risks. However, when you stop growing you can seek out areola reduction surgery.”
Areola reduction surgery is a procedure that takes about 30 minutes with fairly light levels of anesthesia.
It's recommended only after your breasts are completely done growing and once you're done having kids, as there is some risk the surgery may result in damaged milk ducts and an inability to breastfeed, although this is rare. Scarring, temporary or permanent loss of sensation and infection are also potential negative side effects of this surgical procedure.
If you're wondering what an average areola size is, researchers say it's about 4 cm in diameter . More specifically, the areola is typically three times smaller than the size of the breast itself, and three times larger than the nipple.
If yours are bigger or smaller than that, there is no reason to panic or feel self-conscious about them. The areolas you're born with are not the areolas you end up with.
The size of an areola truly means nothing, as it's just breast tissue that is determined by genetics. Areola size is also not always correlated with breast size because even women with small breasts can have large areolas, and vice versa.
Areolas are genetic, like the size of your breast or your feet or your freckle pattern. According to the National Coalition For Sexual Health , Katharine O'Connell White, MD, MPH, said that genetics has the biggest role in the size, appearance, and even color of your areolas.
Physical changes to your body that happen through puberty, periods, and pregnancy can change the size, color, and shape of your areola. Your areola also has a purpose, and its tissue and fiber can help your nipples contract when you're cold, aroused, or breastfeeding. 
For those who are self-conscious about their areola, there are procedures to make them smaller. You can pay for a breast augmentation surgery to decrease the size of your areolas, but from a medical perspective, it is deemed unnecessary.
According to Dr. White, there is nothing wrong with having bigger areolas and beauty comes in all shapes and sizes: "Whether you've been pregnant or not — it's just a part of who you are, and it's what makes all of us different." 
Large areolas can be a sign of pregnancy. If you get pregnant, your areolas will likely grow bigger and darken in appearance, and you might feel like you have huge nipples as they can grow as well. This happens so that the baby can find the nipple and latch on more easily to be breastfed. Isn't your body amazing?
When you're pregnant, your areolas serve as an important purpose for your baby and act as a bulls-eye to see where the nipple is. This is because of the contrast in colors, as babies have poor eyesight after being born.
According to the American Optometric Association , babies' eyes and visual system aren't fully developed and their vision is abuzz with all kinds of visual stimulation: "Babies have not yet developed the ability to easily tell the difference between two targets or move their eyes between the two images." That is why the areolas serve an important purpose.
After pregnancy and breastfeeding, your areolas may decrease back to their original, pre-pregnancy size, they may stay that new, larger size and color, or they may end up with an entirely different look altogether.
During puberty, your hormones, specifically estrogen, cause the size and color of your nipples and areolas to grow and darken.
Interestingly, as your breasts grow larger, your areolas may appear smaller because of the relative size difference and sometimes areolas can project from your breast which can seem like you have big puffy nipples .
And your body doesn't stop there...
You may have noticed your breast size changing at certain points in your menstruation cycle.
The ebb and flow of estrogen causes some women's breasts to swell during the second half of their monthly cycle, and some women notice their areolas appear darker during this time.
Your areolas may also expand during the heat of the moment.
During the stage of sexual arousal just prior to orgasm , your breasts "may increase in size by up to 25 percent." Blood flow to the nipple area makes the nipples "look less erect."
Because birth control pills contain varying mixes of estrogen and progesterone, taking them may lead to changes in the size and shape of your areolas similar to those experienced during puberty.
As is the case with skin on any other location of the body, your areolas may shrink or stretch as you gain or lose weight. The skin of your areolas may or may not shift back to the way they were prior to fluctuations in weight over time.
In contrast to what happens during puberty, decreasing estrogen and progesterone levels during menopause may cause your nipples and areolas to have a smaller, paler appearance.
If you find that only one areola is getting bigger and the other one is not, seek an opinion from your doctor.
Two health conditions that can cause changes to your areola include diabetes and breast cancer.
How diabetes may affect your areola:
One possible symptom of diabetes is hyper-pigmentation of the skin, which develops in response to insulin resistance. In some cases, women with diabetes may notice their "areolae may darken and develop symmetrical lesions or velvety plaques."
How breast cancer may affect your areola:
Again, your nipples and areolas will go through lots of changes all the time, but if you experience any of the following , you may want to seek further guidance from your doctor:
1. Lumps or bumps that don't go away
2. Changes in color or size outside of puberty, pregnancy, breastfeeding, weight loss, hormone therapy, or other known and easily explained factors
3. If the areola skin appears thicker than normal, has a different texture similar to that of an orange peel or is inflamed
4. Pain or discomfort that does not go away
You may be thinking, "Okay, childbirth is beautiful. I get it," but right now you're more concerned about feeling embarrassed when taking your shirt off in front of a guy.
The truth is that most guys simply do not care about areola size. They're just happy to see a pair of breasts ! So there's no reason to feel self-conscious, whether yours are small, large, or somewhere in between.
Christina Wright is a New York-based freelance writer covering entertainment, beauty, interior design, and all things fashionably interesting.
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Let’s get one thing straight, your nipple and areola are two different things. A lot of women tend to get the two of these confused in thinking they are the same. Your areolas are the dark-colored area underneath where your nipple is. Your nipple is the center part of your breasts where your milk is produced. Just as there are different nipple sizes there are all sorts of areola sizes as well. Some women tend to have big areolas and some small. According to Katharine O’Connell White, MD, MPH, director, Fellowship in Family Planning “The areola are as variable as the breast that they’re on,” which means that there is no “one size fits all” when it comes to your breasts, nipples, and areolas.
So, if you are one of those women out there wondering “why is my areola so big” well, you should know that genetics plays a big role in this matter. Just as you inherit certain traits from your parents such as foot size, breast size, hair color, and eye color your areolas are the same. The size, color, and appearance of your areola are genetically inherited. Your areola changes through many stages of your life, such as when puberty begins, pregnancy, periods, and hormones. So don’t be startled if you notice your areola changes in size or color because that is a normal part of your body’s functions. Some women with big areolas may notice either an increase or decrease in size over time.
As I mentioned, your areolas are subject to change in size and color especially if you are breastfeeding. This is a natural part of your body’s functions being that when you are getting prepared for lactation your areola not only grows but changes color. According to Dr.White, The areolas are a target for your baby to locate your breast and get milk. “ Babies have horrible eyesight , so the stark contrast between the areola and the color of the breast helps focus the baby’s eyes on where to look,” she says. You may also notice your nipples getting bigger in size during this time in addition to large areolas. Some women want to reduce nipple size, but this is actually an important time to accept having large nipples and large areolas for the sake of your baby. Small nipples and areolas are not a bad thing either, but they do make it more difficult for your child to spot and latch onto. Some women feel that they have huge areolas that makes them feel less confident, well this is the time to appreciate it.
As many of us women know, no female nipples and or two breasts are ever the same. The same goes for our areolas. One areola may be rounder and a tad bit darker or lighter than the other areola. So if you notice that you have one nipple darker than the other, don’t worry. This is completely normal and nothing to worry about. Your pregnant areola color can change once pregnancy and breastfeeding is complete. If you always had small areolas you may notice that after pregnancy they will actually become larger which means you will then have wide areolas. After you go through pregnancy , they will begin to grow in diameter. If you already have dark areolas you may begin to notice more immediately your areola color fading. In addition, you may notice, one nipple darker than the other. If you are one who has pale nipples or areolas then you actually may notice them darken. These changes are not abnormal, so there is no need to panic. Many women opt for an areola reduction which is not necessary, as your areola size fluctuates. Don’t focus so much on your areola color or size as this may change through time and experiences. 
A lot of women believe that when they see their areola getting bigger that they are automatically pregnant. This is not true, there are many factors that may result in your areolas increasing in size. The female nipple and surrounding area can change many times through personal and physical experiences. When you become aroused, your areolas begin to swell which means they will look larger than usual. When it comes to pregnancy, most women experience an increase in the size of their areolas and nipples getting bigger, but this can happen with or without being pregnant. Same goes for your nipples, mostly pregnant women experience an increase in their nipple size, but truthfully there is no such thing as a normal nipple size which is why we don’t want you to focus so much on your nipple size. 
Your nipples and areolas can fluctuate in size at any point. Typically it happens most when your blood pressure increases. Anytime that your blood pressure or heart rate is being increased then your areolas will expand, this is completely normal. Women with big areolas think they are abnormal, but let me make it clear, they are not. The size and shape do not determine normality, the way your body works is unpredictable, so any women may experience an increase in nipple/areola size. Large areolas can turn to small areolas, large nipples can turn to small nipples. Color changes can occur, the changes are infinite.
The average areola size was shown in one study as 4 centimeters (smaller than a golf ball). Don’t worry if your areolas are larger or smaller than this, this is an average size and does not represent all women. As you can imagine it is really hard to predict the average areola size being that this is something that is constantly changing. Women with big areolas are not any different than women with small areolas, because over time this changes. Although you should be mindful of any weird signs of your nipple and areola such as itchiness or becoming extremely sore. Also, if you begin to notice one nipple darker than the other, you should consult with your doctor about a potential pregnancy. Most of the time this is not anything serious, but if it persists longer than a few weeks you should seek medical attention. Most of the time this just means that your areolas are dry and need to be moisturized. Also, keep in mind, if you change your detergent you may notice your nipple and areola to be more sensitive than usual because the female nipple and surrounding area can react to fragrance changes. 
The simple answer is yes, but we would highly recommend not doing such a procedure as an areola reduction. As if you haven’t noticed, nowadays there is a cosmetic procedure for almost everything under the sun. So technically you may get a surgical procedure to reduce the size of your areolas if you are insecure about having large areolas. You may be looking for ways how to make your nipples smaller at the same time as looking for ways
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