Nipple Correction

Enlarged or overly-shaped nipples (also known as nipple hypertrophy) can be caused by genetics, hormone changes, or breastfeeding. A nipple reduction surgery is performed to reduce the size and projection of elongated nipples for a more symmetrical contour. It can also correct nipples that appear too expansive.

On average, about 10% of women have at least one inverted nipple. There are different classifications of this condition as some inverted nipples can be reversible with stimulation, changes in temperature, or suction cups while others cannot. The most common underlying causes of inverted nipples are short ducts and tethering tissues that pull the nipple inward.

The areola is the pigmented area that surrounds the nipple. In some instances, the areola is naturally disproportionate to the nipple or can become too wide or stretched after puberty, breastfeeding, or weight fluctuation. This reduction surgery alters the size of the areola to complement the natural shape of the breast and nipple for a balanced silhouette.

A nipple reduction surgery is used to address expanded or misshaped nipples. Dr. Canales, Dr. Furnas, or Dr. Culbertson will carefully place incisions along the natural curves of the nipple and areola to make scarring as inconspicuous as possible. With an elongated profile, a cylinder of skin is removed from around the base of the nipple and then sutured to close the two sides together. A wide nipple is improved by removing a wedge of tissue to create a more symmetrical appearance. The nerves and milk ducts are generally not affected.

With nipple inversion surgery, a retraction suture is used to pull the nipple forward and the milk ducts are cut one at a time to release tension. Since this procedure is very simple, it does not require general anesthesia, but a numbing cream will be used to diminish any discomfort. The result provides a more natural-looking contour.

This procedure will remove a portion of the areola starting from the outer edge to reduce its size. The pigment of the areola can also be corrected with cosmetic ink (or tattooing) to create a circular, natural shape.

Many patients can return to usual activities and drive themselves home after their procedure. Typically, you can return to work the next day. A nipple protector will be provided to wear under the bra to help aid in optimal healing. This protection should be worn for at least two weeks.

With an areola reduction, the recovery will be slightly more extensive. The procedure itself is fairly simple, but following your surgery, you should allow for optimal rest to enable proper healing for the best results. Heavy lifting and strenuous activity should be avoided until Dr. Canales, Dr. Furnas, or Dr. Culbertson have cleared you for such activity.

Although there will be a noticeable difference, optimal results will occur in the months that follow as the nipples settle into their new position.

Typically, a follow-up appointment will be scheduled about a week after your nipple surgery in Northern California. Concluding results will be seen in the months that follow.