In short: The cost of areola reduction depends on whether it is done on its own or with other breast surgery, the anaesthetic and the hospital. On its own it is usually performed for appearance, so no Medicare item applies, health funds do not contribute and GST is charged. You receive a written, itemised quote after consultation; the first consultation is $400.
Areola reduction makes the darker skin around the nipple smaller and rounder. It is one of the shorter operations in breast surgery, and one of the most common questions about it is what it costs. This article explains what makes up the cost, when Medicare is involved, and what the operation and recovery involve.
What areola reduction involves
A ring of pigmented skin is removed from the outer edge of the areola, and the new, smaller edge is held with a deep internal stitch so that it keeps its size and shape. The scar sits around the edge of the areola, where the colour change helps to hide it. The nipple itself stays attached to the breast tissue beneath.
Areola reduction can be done on its own, or as part of a breast lift, breast reduction or breast augmentation, where reducing a stretched areola is often already part of the plan. In men, the areola is commonly reduced as part of gynaecomastia surgery or chest contouring after weight loss.
What makes up the cost
Dr Kumar does not publish a single price, because the total depends on how the operation is done. Your quote lists each part separately:
- Surgeon’s fee, which reflects whether the areola is reduced on its own or as part of a larger breast operation
- Anaesthetist’s fee, based on the length of the anaesthetic
- Hospital fees, usually for day surgery
- The nurses’ fee, which includes dressings and your reviews after surgery
When areola reduction is added to another breast operation, the extra cost is usually smaller than having it as a separate operation, because there is one anaesthetic and one hospital admission.
Does Medicare cover areola reduction?
Areola reduction on its own is usually performed to change appearance, so no Medicare item applies. Your health fund will not contribute, and GST is charged. When the areola is reduced as part of an operation that does meet Medicare criteria, such as a breast reduction for symptoms (items 45520 and 45523), it is part of that operation. Dr Kumar will tell you at consultation whether any Medicare item applies to you.
Recovery
- Usually day surgery, so you go home the same day with a support person
- Mild soreness and swelling for the first week or two
- Dressings and a supportive garment for six weeks
- Most people return to desk work within days to two weeks, depending on whether other surgery was done at the same time
- The scar is pink at first and fades over 12 months
Risks
Every operation carries risk. After areola reduction they include changes in nipple and areola sensation, widening or stretching of the scar, asymmetry between the two sides, colour or contour irregularity at the edge, and, rarely, wound healing problems. If you plan to breastfeed in future, discuss this before surgery, because any breast surgery can affect it.
Common questions
How much does areola reduction cost?
It depends on whether it is done on its own or with other breast surgery, the anaesthetic and the hospital. You receive a written, itemised quote after consultation.
Is areola reduction covered by Medicare?
Not on its own, because it is usually performed for appearance. When it is part of an operation that meets Medicare criteria, such as a breast reduction for symptoms, it is included in that operation.
Can the areola be reduced at the same time as a breast lift?
Yes. Reducing a stretched areola is often part of a breast lift or reduction.
Will I lose sensation?
Sensation can change after any surgery on the nipple and areola. It often settles, but changes can be permanent. This is discussed before surgery.
Can men have areola reduction?
Yes. It is commonly done as part of gynaecomastia surgery or chest contouring after weight loss.
Next steps
Read more about nipple and areola surgery, or download Dr Kumar’s Nipple and Areola Surgery guide below. To talk to Dr Kumar’s team, request a call back or call 1300 267 726.
All surgery carries risk and individual results vary. Read the risks and considerations of surgery before deciding. This article is general information, not medical advice.
Specialist Plastic Surgeon in Sydney
