Breast enhancement procedures such as breast augmentation are popular and generally well-understood. A procedure that is less frequently discussed is nipple reduction. Women choose nipple reduction surgery to gain a significant improvement in the way they feel about their breasts and themselves.

Concord Board-certified plastic surgeon Dr. Eric Mariotti is a skilled breast surgeon who also frequently performs nipple surgery. Together with his team, he strives to create a comfortable and welcoming atmosphere where you can feel confident about achieving your personal appearance goals.

Length / Side Effects

Procedure Length

  • Nipple reduction typically takes about 30 minutes to perform

Side Effects

  • Mild Discomfort
  • Swelling and bruising
  • Temporary changes in nipple sensation

Anesthesia / Activity

Anesthesia

  • Only local anesthesia is required in most cases

Exercise and Activity

  • Short recovery before returning to your normal routine

The Best Candidates

The area of the breast that women refer to as the “nipple” actually has 2 parts. There is the nipple itself, the gland that sticks out from the breast, and the darkened skin that surrounds the nipple, known as the areola.

Nipple reduction surgery can address the size of the nipple or the circumference of the areola.

Enlarged nipples or areolas can be due to genetics, childbirth, or breastfeeding. Whatever the cause, many women feel self-conscious about the way that their nipples look.

If you’re concerned that nipple reduction could affect the sensation of your breast, you can rest assured that Dr. Mariotti’s patients maintain full sensation except in rare cases.

An Overview of the Nipple Reduction

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What to Expect

Nipple reduction is often performed as part of a breast reductionbreast lift, or breast augmentation. If nipple reduction is not being combined with another breast enhancement procedure, it will probably be performed under local anesthesia.

Your nipple reduction will be performed at our surgery center and you can plan on returning home later the same day.

After Your Nipple Surgery

After nipple reduction surgery, you should expect only a very short recovery time before you are able to return to work and your normal routine. Your nipple-areolar complex should look more proportionate to the rest of your breast shape and also be centered appropriately to the contours of your breast.

FAQS

Can nipple surgery only be performed with another breast enhancement procedure?

Not necessarily. While nipple reduction is most commonly incorporated as part of another breast enhancement surgery, it can also be scheduled as a solo procedure.

Will my scars be noticeable after nipple reduction?

Typically, Dr. Mariotti places the incisions within the pigmented area surrounding the nipple, where they should heal up to nearly invisible after surgery.

How long will my results last?

Future weight gain or pregnancy that affects your breast size and shape could also affect the size and shape of your nipple-areolar complex. However, outside of these circumstances, most women are happy with their new look long-term.

How much does nipple reduction cost?

Nipple reduction is often performed as part of another breast procedure, such as a breast lift, breast reduction, or breast augmentation. When this is the case, the cost of nipple reduction surgery is factored into the total cost of your breast procedure.

When performed on its own, nipple reduction will be significantly less expensive than a more involved breast enhancement procedure. The exact cost of your nipple or areola reduction surgery will depend on factors such as the plastic surgeon you choose and the surgical techniques involved.

How do I choose the best plastic surgeon near me for a nipple reduction?

If you have already selected a plastic surgeon for another breast enhancement procedure and are interested in adding nipple reduction, discuss your options during your consultation.

Otherwise, you can start the plastic surgeon selection process by asking for personal referrals from friends and family in your area, checking online reviews, and booking a few consultations to help you make your final decision.

Is nipple reduction surgery the best option for me?

Nipple reduction could be an appropriate solution for you if you are bothered by the appearance, size, or asymmetry of your nipples or areolas — the pigmented area that surrounds your nipples.

If you are getting another breast procedure and are unsure if adding a nipple or areola reduction makes sense for you, Dr. Mariotti can explain your options in more depth during your consultation to help you decide.

How painful is a nipple reduction?

Most people report experiencing only mild discomfort and tenderness, along with mild swelling and bruising, directly after getting a nipple reduction, which is typically easily managed with over-the-counter or prescription pain medication.

Adding a nipple reduction to your breast augmentation or other procedures should not affect your recovery time or experience.

How long does nipple reduction recovery take?

When performed on its own, nipple reduction recovery is generally short and uncomplicated. Most women are able to get back to work and other regular activities within a few days to a week after their procedure.

If your nipple reduction surgery is performed at the same time as another procedure, recovery time could be longer, depending on the specific procedure(s) that are combined.

Do you lose sensation in your nipples after a nipple reduction?

Some women may experience a temporary loss of sensation in their nipples directly after getting a nipple reduction, though this sensation typically returns as your body heals. Other temporary side effects can include numbness, tingling, or heightened sensitivity.

Can you breastfeed after nipple reduction?

In some cases, you may be able to still successfully breastfeed after nipple or areola reduction surgery. However, in some instances where the underlying structure of the nipple is affected by nipple reduction surgery, breastfeeding may not be possible.

If breastfeeding is an important consideration, you may want to consider postponing this procedure until after having children.  Dr. Mariotti will discuss the specific surgical techniques and recommendations for your procedure with you during your consultation.

Be sure to let him know if the ability to breastfeed is important to you.

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Nipple Reduction

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