What is Nipple Reduction?
Nipple reduction surgery involves decreasing the size of protruding or disproportionately large nipples and trimming excess tissue to create an aesthetically balanced breast.
The ideal candidate for a nipple reduction is self conscious of the size of their nipples and has realistic expectations from surgery.
Not Recommended For
Nipple reduction is not recommended for women who plan on breastfeeding after surgery as this can affect results.
- Your surgical goals
- Medical conditions, drug allergies and medical treatments
- Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
- Previous surgeries
Your surgeon may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Take photographs
- Discuss your options
- Recommend a course of treatment
- Discuss likely outcomes of procedures and any risks or potential complications
- Discuss the use of anesthesia during the procedure
Be sure to ask questions. To help, we have prepared a checklist of questions to ask your plastic surgeon that you can take with you to your consultation.
It’s very important to understand all aspects of the procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.
Risks and Safety
Side effects of nipple reduction may include infection, prolonged pain, asymmetry, loss of sensation either temporary or permanent, heightened sensitivity, numbness, loss of pigment, visible scarring, reduced ability to breast feed, or loss of nipple.
- More Aesthetically Pleasing Nipple
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
A procedure may be performed in an accredited office-based surgical facility, licensed ambulatory surgical center or a hospital.
If your procedure is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
The size and shape of the nipple, while not typically an indicator of a health concern, can cause aesthetic distress for some individuals. The nipple is cylindrical in shape with a curved top, however nipple hypertrophy occurs when the projection or diameter of the nipple is overly tall or wide. Nipple hypertrophy can be present during puberty but can also be caused by pregnancy, breastfeeding, or trauma to the tissue. When performing a nipple reduction, the focus is more commonly on the projection, or height, of the nipple. The diameter, or width, of the nipple can also be corrected during the procedure. First, preoperative marks will be drawn on the nipple. Depending on the preference of the patient, a circular mark will be made at the base of the nipple as well as between 6-8mm from the base of the nipple, delineating the new nipple height. If the diameter of the nipple is being reduced, additional rectangular or wedge markings will be made on the top and bottom of the nipple, equaling the amount of tissue to be removed. Only local anesthesia is necessary during a nipple reduction procedure.
The base and trunk of the nipple will be infiltrated with lidocaine. Incisions will be made following the preoperative markings. Extra skin will be dissected and removed. Sutures will be used to attach the nipple to the base, reducing the height. If the width of the nipple is being reduced, the skin on the circumference of the nipple will be sutured back together as well. A bandage will be placed over the nipple and areola. Most patients are recovered 2 weeks after the procedure.
The goal of a nipple reduction is to reduce the projection or diameter of the nipple.
It may take a few weeks before you’re able to appreciate the results of your nipple reduction surgery. An initial period of swelling and bruising often obscures the results. As the swelling subsides, your breasts will settle into their final position. You’ll notice that your nipples appear smaller and more centered