Nipple and Areola Reduction Before & Afters

Nipple reduction surgery is a surgical procedure which reduces nipple size and over protrusion. Areola reduction surgery decreases the size and width of large areolas.

As we get older our nipples and areolae often grow larger -- particularly as a result of weight gain. For women, it is also extremely common for the nipples and areola to stretch and become larger following childbirth and breastfeeding.

Areola and nipple reduction surgery involves making small incisions and excising excess tissue. The scarring is typically extremely minimal if not invisible.

Areola reduction surgery is frequently performed as part of a breast reduction or breast lift but may also be performed as a standalone procedure. Looking for more information about Breast Lifts? See our Complete Guide to Breast Lifts.

With nipple and areola reduction surgery skilled plastic surgeons can create a more aesthetic ratio between the nipples and the overall size of the breasts. Other reasons for the cosmetic surgery are to repair wide or asymmetrical nipples, to correct excessively puffy nipples, to fix droopy nipples, to reduce excessively protruding nipples (nipple hypertrophy) or to correct for an abnormal amount of texture on the areolae.

Depending on the details of the procedure and the determination of the plastic surgeon, nipple reduction surgery may be performed under local anesthesia or general anesthesia.


Nipple Reduction Surgery

There are three standard plastic surgery techniques for reducing the size or projection of the nipples.

The most common technique to reduce the size of large nipples is to excise a pie-shaped segment of the nipple. The second is to excise a circular ring of tissue from around the outside of the nipple. And the third is to reduce the nipple protrusion by surgically moving the nipple back into the breast tissue.



Areola Reduction Procedure

The surgical technique most frequently used to reduce the size of the areolae is to excise a donut-shaped ring from the outer circumference of the areolae. After excision, the skin outside of it is brought towards the center and sutured in place with absorbable stitches. Typically, a permanent stitch is also placed out of sight within the breast to limit any future enlargement of the areola.


Nipple Reduction Surgery for Men

Cosmetic procedures to reduce male nipples are performed more frequently with every passing year. Male breast enlargement or gynecomastia may be the result of a hormonal imbalance or simply excess chest fat (pseudogynecomastia). The development of breast tissue is common in men during puberty and can lead to a loss of self-esteem and self-confidence.

Often nipple and areola reduction surgery in men is combined with an excision of the glandular tissue in the case of gynecomastia, or with additional liposuction in the event of excess chest fat.



Nipple Reduction Surgery Gone Wrong

While nipple reduction surgery is a relatively simple procedure and considered very safe, there are always risks involved with any surgery. These include keloid or hypertrophic scarring, scar widening and a loss of nipple sensation. Plastic surgeons advise patients to avoid strenuous activity during the postoperative period and to limit their daily activities during the first week of the healing process.

It is normal to experience some pain, bruising and swelling after breast surgery.

To reduce the possibility of complications or poor results, always be sure to consult with a board-certified plastic surgeon.

Considering cosmetic surgery to reduce the size of your nipples? See Zwivel’s Complete Guide to Nipple and Areola Reduction Surgery.

Breast lift, Breast augmentation, Silico... by Dr. Tim Sayed , San Diego, CA Breast lift, Breast augmentation, Silicone breast implants and 2 more by Dr. Tim Sayed , San Diego, CA

This patient had massive weight loss followed by cosmetic surgery to correct the loose excess skin and breast sagging. This correction included silicone implants, breast lifting and an extended tummy tuck (abdominoplasty...