Last updated date: 16-Jun-2023

Medically Reviewed By

Written by

Dr. Anas Walid Shehada

Originally Written in English

Nipple Reduction


    For some women, the natural aging process, as well as the effects of pregnancy, breast feeding, and/or weight fluctuations, can cause their nipples and areolae to enlarge. Every woman has an ideal vision of how her nipples and areola should look, and when this is not accomplished, it may have a significant impact on her breast self-image and general self-confidence. Nipple reduction techniques are used to reduce the diameter of the areola or the nipple's protrusion.


    What is Nipple Reduction?

    Nipple Reduction

    Nipple reduction surgery is a surgical treatment that alters the size, shape, or projection of the nipple-areolar complex (NAC). The nipple is a projection in the center of the breast, and the areola is the pigmented region surrounding it.

    Nipple reduction is usually performed in conjunction with breast augmentation or lift surgery to improve the appearance of the breasts, but it can also be performed on its own.


    Female breast Anatomy

    Female breast Anatomy

    Breasts are a component of both male and female sexual anatomy. Breasts are both functional (for lactation) and sexual for females (bringing pleasure). Male breasts serve no purpose. The nipples and areolae are visible components of breast anatomy.

    The anatomy of the female breast is complicated and complex. Milk ducts, lobes, lobules, lymph nodes, and veins line the interior of the breast, while the nipple and areola line the exterior.

    Female breasts' primary function is to produce breast milk and to breastfeed a baby. This article will go over the anatomy of the breasts, their function and purpose, as well as the medical conditions that can affect them.


    What Parts Make Up Breast Anatomy?

    There are many different parts to female breast anatomy, including:

    • Lobes: Each breast has between 15 to 20 lobes or sections. These lobes surround the nipple like spokes on a wheel.
    • Glandular tissue (lobules): These small sections of tissue found inside lobes have tiny bulblike glands at the end that produce milk.
    • Milk (mammary) ducts: These small tubes, or ducts, carry milk from glandular tissue (lobules) to nipples.
    • Nipples: The nipple is in the center of the areola. Each nipple has about nine milk ducts, as well as nerves.
    • Areolae: The areola is the dark-colored circle of skin that surrounds the nipple. Montgomery's glands, which are found on areolae, secrete a lubricating oil. During breastfeeding, this oil protects the nipple and skin from chafing.


    Why would someone need a Nipple Reduction?

    Nipple Reduction procedure

    The majority of nipple reduction procedures are purely cosmetic. The majority of people who get nipple reduction surgery do so because they are unhappy with the appearance of their nipples and want to modify them. The following are some of the most common complaints that lead people to seek nipple and/or areola reduction:

    • Nipples are too long
    • Nipples are too big
    • Nipples are too visible underneath clothing
    • Sagging nipples
    • Stretched or damaged nipples after breastfeeding
    • Areolae are too large in diameter
    • Asymmetric nipples and/or areolae

    In other cases, the nipple may be too tiny or inverted, necessitating a different surgical approach. It is possible to return inverted nipples to a more normal posture by releasing the fibers that tie them inward.

    During your initial appointment, one of the excellent doctors will completely discuss your problems and goals, inspect your nipples, and thoroughly answer all of your questions before offering the best surgical approach for your requirements.


    Am I a Good Candidate?

    Women who are in good general health, have no plans for future pregnancies, and are not presently nursing are perfect candidates for nipple reduction surgery.

    If you have asymmetrical areolae, this operation may be indicated to establish size and form matching. Patients who have swollen or inverted nipples may be advised to consider this corrective surgery.

    If you have nipple piercings, they may need to be redone after this operation since they may shut once you heal. It is critical that you have realistic expectations and a positive outlook.


    What are the Benefits of Nipple Reduction Surgery?

    Nipple reduction surgery can have many benefits including:

    • Reduction in puffiness of the nipple
    • Correction of asymmetry
    • Improvement of the appearance of long nipples that droop
    • Creation of a more aesthetically pleasing nipple shape and size
    • Restoring nipples affected by breastfeeding
    • New, lovelier appearance to your nipples and areolae
    • Improved self-confidence and self-esteem


    Preparing for Nipple Reduction Surgery

    Preparation for Nipple Reduction Surgery

    There are preparatory preparations and reminders that you must meticulously follow in preparation for your nipple reduction operation. Stop smoking several weeks before your operation. Do not consume alcohol for many days before your treatment.

    Certain medications, such as nonsteroidal anti-inflammatory drugs and herbal supplements, may be asked to be stopped or adjusted prior to surgery. Fasting for six hours before surgery may be advised. Patients should wear comfortable, loose clothes that does not need to be pulled over the head or face on the day of operation. Wear no make-up, jewelry, or nail polish.

    We want to make this as easy as possible for you, therefore you will be given all pre-operative instructions prior to your treatment. However, if you have any questions or concerns before your surgery, please contact the surgeon.


    The Procedure

    Nipple Reduction Procedure

    Nipple reduction surgery will be conducted under anaesthetic to avoid any pain or discomfort. To address the diameter or height of the nipple or the proportions of the areola, small incisions will be made and tissues may be removed or replaced. To obtain the required objectives, many strategies will be used.

    Nipple reductions are performed using two techniques: the wedge method and the flap technique. The wedge is made by cutting a wedge-shaped portion out of the nipple and connecting the sides. Making an incision around the base of the nipple at the appropriate projection level and leaving a little part connected is the flap procedure. To generate a smaller nipple, superfluous tissue is excised and the flap is turned down.

    The treatment takes around 30 minutes. On the day of your treatment, you should plan on spending an hour and a half to two hours. Finally, sutures will be used to seal the incisions. The entire surgical procedure can take an hour or two.


    Recovery from a Nipple Reduction Procedure 

    Nipple Reduction Recovery

    Following your nipple reduction treatment, a surgical bra will be put over your breasts to ensure that they are properly positioned for healing. Patients are usually able to leave quickly following the surgery. You may have some burning or pain in the first 48 hours following the procedure. Bruising normally fades in two weeks.

    Please keep in mind that your breasts may heal differently than mine. One may swell while the other does not; one may be more sensitive than the other; or they may seem somewhat different in form. However, once fully recovered, your breasts will be symmetrical, with lovely and natural results.


    What to expect with Nipple Reduction Surgery?

    Nipple Reduction Surgery

    Following the surgery, patients may have numbness, swelling, or tingling in the nipple-areola region. This is typical and will resolve itself after six weeks following surgery. To aid in the healing process, sleep on your back for the first week following surgery, and be sure to wear the special surgical bra at all times for the first few days.

    During the first two weeks following the operation, a softer sports bra can be used. Keep in mind that it should be worn even when sleeping to assist keep your breasts in the ideal healing posture. The scars from the procedure on your breasts should be protected from sunlight for at least one year after surgery.


    Is there a risk of complication with nipple reduction surgery?

    The most common problems of nipple reduction are infection and suture line rupture. These are rare and may be avoided with good maintenance. Blocked ducts are a fairly unusual complication that necessitates reopening the incision to unblock the ducts.


    Nipple Reduction in men

    Many men suffer from a condition known as 'Puffy Nipple,' which is caused by an excess of breast tissue or enlarged breast glands under the nipple/areola, pushing the nipple (a part of the condition Gynecomastia, or enlarged male breasts) outwards into a cone shape 

    This might cause self-consciousness, especially while wearing t-shirts, swimming, or participating in activities that demand a bare chest, etc.

    According to statistics, up to 60% of males globally, and 30%-60% of male adolescents, will have Gynecomastia at some point in their lives. It is most frequent in teenagers aged 13 to 17, and in men over the age of 60. Weight fluctuations might also have an impact on the nipple. Many men choose this surgery to feel more secure in their physical look, and it can also have a psychological benefit.


    The Cost of Nipple Reduction Surgery

    The cost of nipple reduction surgery is affected by a variety of factors, including the technique employed. The total cost may be influenced by anesthesia and surgical expenses, as well as the procedure's intricacy. If combination operations are done, additional charges will be payable.

    Because this is a completely cosmetic treatment, your health insurance company will not cover the cost of nipple reduction surgery.


    FAQ About Nipple Reduction Surgery

    1. What can someone expect from the results of a nipple reduction procedure?

    The results of a nipple reduction procedure are permanent and visible right away. Pregnancy and breastfeeding may have an impact on the results, as well as the ability to breastfeed.

        2. What is the average cost of a nipple reduction procedure?

    A nipple reduction might cost between 1,000$ and 5,000$. The cost of a Nipple Reduction is determined by the location, board certified cosmetic surgeon, and length and complexity of the plastic surgery.

        3. Will I have scars after a Nipple Reduction?

    Scarring is unavoidable with every medical treatment that needs incisions. Scars, on the other hand, usually heal nicely and mix in with the surrounding tissue, making them nearly undetectable. A breast augmentation, lift, or reduction, on the other hand, might result in a greater degree of visible scarring. Special lotions, ointments, and other treatments can help lessen the look of these scars, and most patients say that the change in their physique is well worth having a few scars under their clothing.

        4. When is the right time to have a Nipple Reduction Performed?

    Finally, the choice to undergo nipple reduction is a personal one, and the date is mostly determined by when a patient feels mentally and logistically prepared. Aside from that, it is critical that patients be above the age of 18 and have completed their physical development before considering a nipple reduction. It is also strongly advised that women stop having children and breastfeeding before undergoing a nipple reduction, breast lift, breast augmentation, or breast reduction. Your doctor can best advise you on whether or not a nipple reduction is right for you.

         5. When you can return to normal activities

    In most situations, you will be able to return to work or school the next day, and you will be able to drive again within a day or two after your operation.

    Strenuous activity can begin approximately 2-3 weeks following surgery, but only when you feel ready should you continue with your exercise plan. Wear a bra for at least six weeks after your surgery. You don't have to wear one while showering, but you should wear one at all other times.



    A nipple reduction is a plastic surgery treatment that shrinks the nipple. This cosmetic operation usually concentrates on nipple height or projection, followed by diameter or breadth if necessary. Trauma, nursing, pregnancy, or puberty can all induce nipple enlargement.