Throughout the lifetime of men and women areolar size can change. Commonly at puberty during hormonal maturation and breast development the areolar enlarges. Another critical time is during pregnancy and breast feeding where they can also pigment.
Following breast augmentation surgery, the placement of the implant may also stretch out the areola size.
In men the areolar can enlarge and become puffy in the case of enlarge male breast tissue (gynaecpomastia).
Areolar size can be reduced by areolar reduction surgery. This can be performed alone, or in combination with breast augmentation, breast lift or breast reduction. It can also be performed in combination with nipple reduction and male breast tissue (gynaecomastia) reduction surgery.
Areolar pigmentation can be treated with topical cream treatments.