The normal areola diameter is 3-5cm, and less than this range means that the areola is too small, and vice versa. Another tattoo method is to enlarge the areola, so that the local skin color is as deep as the color of the areola. Tissue transplantation can also enlarge the areola by taking darker skin of labia or sacrococcygeal region. The areola can be reduced at the same time as nipple reduction and male breast development surgery.

If the areola is too big, the breast is not big or drooping, a simple areola skin partial resection can be done to reduce the areola. The operation method is: draw a circle with a proper radius (generally 1.5-2.5cm) with the nipple as the center, cut off the areola skin outside this range, and keep the dermis and subcutaneous vascular network to prevent the nipple areola from insufficient blood supply. Cut off a triangular skin laterally on the inside and outside of the outer ring skin to reduce the radius and make it consistent with the radius of the new areola. Finally, the outer ring was slightly separated under the skin, and then sutured contraposition.