What are the causes of areola changes? i have noticed a very slight change in the shape of my right areola, in one small area it seems that it has stretched out. basically the overall shape is not perfectly round as it has always been. i am slightly conce

Hello. : Hello. Areolas often become stretched out during pregnancy or breast feeding. Even without pregnancy, the areola is subject to changes over time. Things which can impact the areola include hormonal changes, birth control pills, aging, and some medications. However, if your skin is puckering inward or an underlying mass is palpated, that needs to be evaluated expeditiously.