1, areola reduction surgery was performed under local anesthesia, using areola circular incision or sector incision. Areola reduction does not damage nipple and breast tissue, and the incision marks are left at the edge of areola or in areola, which is generally not obvious. 2. Draw a circle around the nipple (generally 1.5 ~ 2.5 cm), and cut off the skin of the annular areola outside this range. The dermis and subcutaneous vascular network should be preserved to prevent nipple and areola from insufficient blood supply. 3. Cut off a triangular skin inside and outside the surrounding skin horizontally to reduce the radius and make it consistent with the new areola radius. After contraposition suture, the surrounding subcutaneous tissue was slightly free. After areola reduction surgery, just cover the gauze, take antibiotics, and don't change the medicine. The stitches were removed intermittently 7 ~ 10 days after operation to prevent excessive tension.