What is Nipple Reduction?
Having overly large, long or drooping nipples may cause embarrassment and discomfort for many patients. They may avoid wearing light clothing such as bathing suits, sheer dresses and sports attire. Women sometimes find it necessary to wear adhesives or padded bras to hide the prominent appearance. They may also have physical problems such as chafing or ulceration.
An overly large, long or droopy nipple may also detract from the appearance of the breast. Techniques developed in the last few years preserve the central core of the nipple, maintaining the nipple’s ability to support breast-feeding while preserving sensation. A nipple reduction procedure is often combined with a breast lift, breast reduction, breast augmentation, or gynecomastia (male breast reduction) surgery. Nipple reduction is also relatively simple to perform by itself under local anesthesia in the office.
Am I a good candidate for nipple reduction?
Good candidates in Boston and Worcester, Massachusetts are uncomfortable with the size or shape of their nipples and are in general good health. It is also important to have a good understanding and realistic expectations of the procedure.
Nipple Reduction – Patient 112
A man is his late 20’s who is bothered by prominent nipples which are visible through his shirts. He is shown before and again, 6 weeks after bilateral nipple papule reduction performed in the office under local anesthesia.
Nipple Reduction – Patient 111
A fireman in his late 20’s who is bothered by prominent nipples that show through his clothing.
He does not have gynecomastia (male breast development).
He is shown before and again, 6 weeks after reduction of his nipples with a nipple amputation technique performed in the office. This technique works well for patients who do not need reduction in the diameter of the nipple, but only of the height. This technique does not require a patient to limit his/her running and physical activity for 6 weeks as is needed with the Top hat flap technique.
At 6 weeks the areas are already well healed. Faint bruising is noticed on his chest in both the before and after photos but is not related to his nipple reduction.
Nipple Reduction – Patient 110
A man in his late 40'w with gynecomastia (male breast development) and prominent nipples papules. He is mainly bothered by the prominence of his nipples in light clothing and has decided to have a nipple papule reduction in the office, before considering a gynecomastia procedure to reduce the size of the breasts. In the gynecomastia gallery you will find patients who have had both procedures performed at the same time in the operating room. He is shown before and again, 4 months after nipple papule reduction in the office. When the problem is simply the height of the nipple papule and it is not excessively wide, then a "top hat flap" procedure is not needed. A simpler procedure, where the top of the nipple papule is removed under local anesthesia heals in nicely in a few weeks and typically gives an excellent result, as seen here.
Nipple Reduction – Patient 109
An asian woman in her early 40's who is bothered by nipple hypertrophy. The nipple papules were reduced both in height and in diameter using a Top hat flap technique. She is shown before and again, 4 1/2 months after surgery. A breast augmentation was performed at the same time.
Nipple Reduction – Patient 108
A woman in her late 40's who is bothered by the prominence of her nipples in clothing. She had seen several plastic surgeons and was told that she could not reduce the diameter of her nipples, only that height. Although that may be true with traditional "nipple amputation" techniques, where the top of the nipple papule is removed, it is certainly not true with the "top hat" flap method of nipple reduction that I prefer. This allows for a one stage correction of the diameter and height of the overly prominent nipple, without leaving raw areas and with the preservation of nipple sensation. Anatomic studies show that the nipple ducts and nerves travel through a 5- 5.5 mm core at the center of the nipple papule, regardless of the size. We are able to preserve these with the top hat flap method. She is shown before and again, 2 1/2 months after surgery. She is pleased that she has maintained her normal nipple sensation and feels that the new papule size is perfect for her.
How is nipple reduction performed?
Nipple reduction surgery is done under local anesthesia and usually takes around an hour to complete. Dr. Hall creates a small incision in the nipple, and removes any excess tissue from the area. Stitches are then placed to close the incision, and dressings are applied to the breasts. A special surgical bra will need to be word to ensure optimal healing. Results from nipple reduction surgery are permanent, though the natural aging process may contribute to dropping or sagging of the breasts.
What should I expect during recovery?
Nipple reduction surgery is an outpatient procedure, so patients generally return home after their reduction. It is important to note that some patients have someone drive them home, as they will not be able to drive themselves. Pain medication can be prescribed to control any pain or soreness you may experience. Patients should wait one to two days after surgery to drive, bathe, and resume working. It is also advised that patients avoid strenuous activity for three weeks post-op. It is advised that patients sleep on their back only for the first week, as to ensure ideal healing.
As with any invasive surgery, scars will be present. It often takes several months to a year for scars to fade. Bruising often disappears after two weeks, and stitches can be removed within a week of surgery. Sometimes, patients may experience slight numbness or tingling in the nipple area, though this will go away within six weeks.
A consultation is the first step towards a more confident you. If you are interested in nipple reduction surgery in Boston, MA, contact Dr. Hall today at 781-473-0277 to schedule your initial consultation.
“Dr. Hall and his staff are great. They are friendly and made me feel comfortable. Dr. Hall is very knowledgeable and put me at ease regarding my surgery.”
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