The breast is a sign of the second female sex characteristic and a very important aesthetic sign for women. The nipple areola, which is located in the central part of the breast, is also a very important aesthetic marker in breast aesthetics. For different women, the size and color of the nipple areola varies somewhat. Generally, the nipple is a raised cylindrical shape between 0.6 and 1 cm in diameter, and the areola is round between 3 and 5 cm. The color of the nipple areola can be pink, tan, or somewhere in between. The color and size of the nipple areola may change for the same individual at different stages of growth and development. For example, women who have experienced breastfeeding may have a deeper nipple areola and an increase in size. What factors can cause nipple areola loss? Total or partial absence of the nipple areola can be caused by both congenital and acquired factors. The former is mainly caused by congenital dysplasia, such as Poland’s syndrome, while the acquired factors are commonly caused by defects resulting from breast trauma or removal of masses such as breast cancer. Missing nipples and areolas can not only cause unattractive appearance, but also cause certain psychological effects and even social and marital problems in the future. What should I do if I have a missing nipple areola? Missing nipples and areolas can be recreated through reconstructive surgery to make up for the defect. Currently, the most common method is to use a local flap to reconstruct the shape of the nipple and the color of the areola through tattooing, thus achieving the purpose of nipple areola reconstruction. Are there any risks associated with nipple areola reconstruction? There are risks associated with any surgery, and there are also risks associated with nipple areola reconstruction. The main risk is the possibility of partial or total necrosis of the flap, and the possibility of localized surgical scarring. However, after nipple reconstruction, the color of the nipple areola needs to be shaped by tattooing, and the scar often appears less obvious under the color mask. In addition, in addition to missing nipples and areolas, there is also the unattractive shape of the breast due to nipple areola hypertrophy, which can also be restored through plastic surgery by applying nipple areola reduction surgery. In summary, the nipple areola has a very important position in the overall beauty of the breast, candidates who have nipple areola is missing or too big and too small, need to pay attention to choose a regular hospital, professional plastic surgeon to see.