What sort of scarring can you expect after an areola reduction? Well it's important to note that everyone scars differently so there's no absolute guarantee how you're going to scar. But essentially, the scar is around the outside of the nipple at the junction where the brown area of the nipple touches the normal breast skin. We put a permanent buried stitch deeply in the tissue to prevent the areola widening to lock it in position, to lock it at that circumference. At a week when we change the dressings, remember there's no stitches to remove but we normally change the dressings and apply silicone around - doughnut shaped silicone pad to the scars. When we change the dressings the scar will be healed very well. There will normally be a thin line and then the scarring will then progress through a slightly red, then pink eventually to a flat pale line surrounding the areola. This process can take between six months and a year.