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.

Nipple Reduction Overview - Everything You Need to Know

The Skinny

Nipple Reduction
avg. recovery
1 weeks
Is permanent
Minor Surgical Procedure
$1000 - $5000

About the Procedure

Last Updated: 07.27.2021

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.


Nipple Reduction addresses concerns such as:

Recovery Notes

Most patients are able to return to work 1-2 days after the procedure. Patients should refrain from strenuous or sexual activity for 7-10 days. If the nipple reduction is performed in conjunction with additional surgeries such as an areola reduction or breast augmentation, recovery time may be longer.

Ideal Candidate

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.

Side Effects

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
  • Increased confidence


  • Possible changes in sensation
  • Possible asymmetry
  • Difficulty breast feeding

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