Nipple Reduction

Considering Nipple Reduction Surgery?

  1. Large Areolas and Nipples

Large nipples would come along with people who has large areolas, this could occur in women who just gave birth.

For the patient who have these problems are recommended to do both areola and nipple reduction. In the early period after the surgery, there will be a small pleat around the created areola. Three months after the surgery the small pleat will eventually fade away and the surface of the areola will become smooth again. The patient should consider this surgery when they decided not to have more babies because if they have another baby the areola will enlarge again.

  1. Long and Large Nipples

This occur after you are done breastfeeding your baby.


Nipple Height Reduction

1st Method

The surgeon will choose the position where the patient desired to reduce. Then the surgeon will slice out the lower part of the nipple and then stitch them back, this would shorten and lessen the nipple.

Basic RGB

2nd Method

This method the surgeon will slice out the upper part of the nipple and then stich them back together. This method has to open the hole in the nipple. Therefore, this method is not possible for patient who plans to have baby in the future.

Basic RGB

Nipple Width Reduction

3rd Method

This procedure is suitable for patient who have problem with large but short nipple. Anywhere around the nipple could be cut for this procedure.

Basic RGB

Nipple Width and Height Reduction

4th Method

The method would reduce both width and height of the nipple by slice the nipple vertically is half and stitch them back together.

Basic RGB

5th Method

This method is suitable for the patient with long nipple and do not plan to have baby in the future. The surgeon will cut the middle part of the mammary gland and reduce the width of the nipple by slicing the middle of the nipple horizontally.

Basic RGB

Things to be Concerned About Before the Surgery

  1. The patient need to decide carefully whether they want to reduce the width, height or both.

  2. In some technique the patient might experience some numbness in the area of the surgery which could diminish the feeling around the area.

  1. The 1st Method will not interact with the mammary gland. However, 3rd and 4th Method, the patient’s mammary gland will be slice out partially. Finally, most of the mammary gland will be slice out in 2nd Method. Therefore, before choosing any method the patient should plan carefully whether they are planning to have a baby in the future or not.


Pre-Operative Care

  1. Inform your surgeon of any allergies, all medical conditions, and any medication that you are taking both prescription and non-prescription.

  2. Avoid NSAIDs and blood thinning medication such as aspirin for two weeks prior to surgery to eliminate the chance of post operation bleeding.

  3. No smoking 2 weeks prior to surgery as this may affect your reaction to the anesthetic and prolong the healing process.

  4. Avoiding food and drink is not essential.

  5. The patient should bring a loose bra to wear after the surgery.


Surgical Procedures

First the surgery is performed under local anesthesia around the nipple and the areola area. The surgeon will then slice the excess areola and do the slip knot suture. For the nipple, the surgeon will slice out the lower part of the nipple and then stitch to close the incision. The duration of the operation is about 2 hours. After the operation is done, the patient can go back to their normal routine on the next day.


Post-Operative Care

  1. The patient need to return in about a week to have the stitches taken out.

  2. Clean the incision twice a day using saline solution then apply antiseptic onto the incision.

  3. If there is any swelling or bleeding, please contact the surgeon immediately.

  4. The patient can wear the bra instantly after the surgery, if they wish to.

  5. The patient need to finish all the medicine prescribe by the surgeon.

  6. Apply cold pack around the incision area.

  7. Avoid the incision from contacting the water until the stitches is taken out.

Doing areola and nipple surgery is not complicated and the duration period for the surgery is short. The surgery itself is safe, one thing needed to be consider is whether the patient is planning to have a baby in the future or not.