Unusual Bumps on Areola: Should You Be Concerned?

There are unusual growths around the areola?

Hello doctor, I have been troubled by this issue for a long time.
I have something that looks like pimples on my areola, which protrudes along with my nipple.
If my nipple is not erect, they do not appear and are level with the skin.
Is this a normal phenomenon? Should I see a gynecologist? Thank you, doctor.

Zhen, 20~29 year old female. Ask Date: 2016/06/19

Dr. Wu Jianting reply Breast and Thyroid

The raised sebaceous glands on the areola are called Montgomery glands, which are somewhat similar to acne.
If you have any questions, you can consult a breast surgeon.
Thank you for your inquiry.

Reply Date: 2016/06/19

More Info

When it comes to unusual bumps on the areola, it is important to understand that the areola, which is the pigmented area surrounding the nipple, can exhibit various changes due to a number of benign and normal physiological processes. The bumps you are describing, which appear to be similar to small pimples and change with the nipple's position, may be related to several common conditions.

One of the most common causes of bumps on the areola is the presence of Montgomery glands. These are small sebaceous glands located in the areola that can become more prominent during hormonal changes, such as those occurring during puberty, menstruation, pregnancy, or breastfeeding. These glands serve to lubricate the nipple and areola, and their appearance can vary from person to person. If the bumps you are noticing are soft, movable, and do not cause pain or discomfort, they are likely normal Montgomery tubercles.

However, it is essential to differentiate between normal anatomical variations and potential concerns. If the bumps are new, changing in size or color, or accompanied by other symptoms such as pain, discharge, or changes in the skin texture, it would be prudent to seek medical advice. Conditions such as folliculitis (inflammation of hair follicles), dermatitis, or even more serious conditions like Paget's disease of the nipple can present with similar symptoms and warrant further evaluation.

Given your description, it would be advisable to consult with a healthcare provider, specifically a gynecologist or a dermatologist, who can perform a thorough examination. They may recommend imaging studies or a biopsy if they suspect any abnormality that requires further investigation.
In summary, while the bumps you are experiencing may be normal, it is always best to err on the side of caution. If you have any concerns about changes in your breast tissue or the appearance of your areola, do not hesitate to seek professional medical advice. Regular breast self-exams and awareness of your body's changes are crucial for early detection of any potential issues. Remember, your health and peace of mind are paramount, so consulting a healthcare professional is a wise step.

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