Surgery isn't the only way to get perky breasts. Your areolas may or may not return to their previous size after you lose weight. BMC Pregnancy and Childbirth. A change in the size and number of Montgomery glands visible on the nipple and areola is one of the earliest signs of pregnancy. Certain types of dermatitis can also cause eczema.
Pregnancy and hormone changes
Hormonal fluctuations, including pregnancy or your menstrual cycle, can have an effect. What's inside your nipple and areola? Additional information. Mammary ridge.