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During breast reduction surgery, the size of the areola, the colored portion around the nipple, is often reduced. The size of the areolar may be disproportionately large for the breast and give the breast a more matronly or aging appearance. This occurs following breastfeeding in many patients and is present in almost all very large breasts. During breast lifting or breast reduction, the areola is reduced to a balanced size which makes the breast appear more youthful as well. As a standalone procedure the reduction of the areola is uncommon. It is usually performed in association with other breast surgery. Some men who develop gynecomastia (overgrown breast tissue) will also have a large areola. Because this is a feminized feature men sometimes present for reduction in the size of the areola in order to look balanced or normal. In this case, areolar reduction is performed as a stand alone procedure.
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