An average areola- the pigmented area around the nipple- measures around 4.5 cm in diameter but pregnancy can stretch the entire breast and areola. When breasts shrink after pregnancy, the areola may not return to its previous size. 
Weight gain and breast sagging can also cause an increase the size.  Areola reduction surgery is a relatively simple procedure and involves removing skin around the areola. The outer circumference of the existing large areola is marked, and the circumference of the desired smaller areola is marked and the skin between these two circles is removed and stitches are placed.  This quick snip can usually be done under local anaesthesia, and requires minimal downtime. The surgery can leave a small scar which fades over time.
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