Plastic surgery : The Naked Truth About Nipple Correction

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Creating the Perfect Nipple

I have been doing Nipple correction surgery in Orange County and Nipple Correction in Los Angeles for more than 25 years.  Nipple surgery includes a number of surgical and non surgical procedures for the correction of Inverted nipples, nipple  reduction and areola reduction, nipple enlargement and  nipple repair from piercings and other traumatic injuries.

Most of these procedures can be done in the office under local anaesthesia with minimal or no down time and quick healing. Any of these procedures may interfere with breast feeding so this must be considered by the patient

Nipple Reduction  Surgery

This procedure may be requested by men or women. For women, the most common request is to reduce a nipple that protrudes too far being too visible with or without clothing.  On occasion, the nipple itself can also be too wide in diameter or asymmetric compared to the other side. Men can have a similar problem or the nipple can be pushed forward by too much gland behind the areola or “puffy areolas”.  The incisions can be done a number of ways but they all work well and are generally invisible or very hard to see. 

Inverted Nipple Correction

Inversion can occur with breast development in as many as 2% of women and may be on one or both sides.  Sometimes the nipple can be expressed forward. The nipple may come out with cold or conversely the cold can pull the nipple in as the areola contracts.  This can also occur after breast feeding problems, infection , trauma  or with breast cancer .

Again, this procedure can be performed in the office under local but, it is commonly performed with other breast surgery such as breast augmentation, breast mastopexy, or breast revision surgery.

There is variation in the degree of nipple inversion and in the more severe cases, the breast ducts may need to be severed. Breast feeding can be affected by these procedures so this must be a serious consideration.  Devices such as the Niplette by Advent can be used without surgery with some success.  It is often used after surgery to create suction and maintain the correction.      

Nipple Augmentation

For women who have very flat nipples , augmentation can enhance the projection.  This is a simple procedure that can be performed with a filler such as fat or an HA such as Juvederm or similar.  Other implants including cartilage or synthetic products can be used

Areola reduction

The Areola may be enlarged with breast development.  Conditions such as tuberous breasts frequently have larger areolas. This can also be seen with large breasts, weight gain, asymmetries, pregnancy , and breast feeding.

The reduction generally requires a periareola or donut type excision.  Again, this can be done with local anaesthetic in the office.  There will initially be some irregularity of the incision with puckering the smoothes over 4 or 5 months.  This is the same procedure used for the periareola breast lift or mastopexy

Nipple surgery and Areola Surgery for Men

Both women and men may have “puffy nipples” which will require tightening the areola and sometimes removal of breast tissue from underneath the  nipple.  Men can also suffer from enlarged or inverted nipples which can be reduced in a similar manner noted above

Key words: inverted nipple correction; flat nipple correction; nipple surgery before and after surgery; nipple surgery costs; inverted nipple surgery cost; inverted nipple correction without surgery; male nipple correction; male areola correction


Article by
Orange County Plastic Surgeon