Is It Advisable to Have a Nipple (Not Areola) Reduction and BA at the Same Time?

I have very large protruding nipples and a smallish areola. After breastfeeding, they started to droop and now look worse. I would like to have a breast augmentation, preferably with an areola incision, could I also have my nipples reduced in length and width at the same time? Or would it cause too much stress or trauma on the area? I don't need a breast lift (if that matters) and according to the PS I saw during my first consult, my areola area is large enough for an areola incision. Thank you.

Doctor Answers 26

Nipple Reduction with Breast Augmentation

Reducing a nipple that is too long or too wide (or both) can be done as a matter of routine at the same time as breast augmentation.

Denver Plastic Surgeon
4.6 out of 5 stars 39 reviews

Nipple reduction is possible

Nipple reduction is certainly possible at the same time as a breast augmentation, regardless of augmentation incision. The important fact to keep in mind is that lactation will be interrupted due to the inherent scarring. If you are planning on breastfeeding children in the future, you would want to delay this procedure. If you are terribly concerned with performing both procedures at the same time, the nipple reduction is simple to perform in the office at a later date under local anesthesia.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

Nipple reduction

This is a reasonable combination though there are some theoretical concerns about increasing the bacterial exposure to the implant and possibly increasing the risk of capsular contracture.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Nipple reduction and breast implant augmentation

This combination of procedures can easily be completed at the same operative session. Some surgeons have concerns about biofilm formatiion and transmission of bacteria through the lactiferous ducts.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Nipple reduction at same time as breast augmentation? Yes

I have performed exaclty this combination of procedures, and it works well.  The nipple reduction really removes skin around the base of the nipple to reduce its height, so that's not terribly detrimental to its blood supply.  If your nipples also require a change in diameter, then an addiitonal incision needs to be made to essentially remove a "pie slice" of the nipple and make it narrower. 

I think the key to any blood supply problems (which could kill all or part of the nipple) is what size implant you choose.  The larger the implant, the more stress on the blood supply. 

If you want to take the most conservative route, you could easily stage these procedures.  The breast augmentation could be done, then you could just have the nipple reduction done in the office under local anesthesia.  I would go with whatever your surgeon is comfortable doing.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 42 reviews

It is common

It is fine to have both treatments performed during the same surgical procedure. However, you should discuss this with your surgeon.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Breast Enhancement Surgery

Easilly done at the same time, in fact I sometimes mention it because women usually dont know that it is even possible to do, GOOD LUCK

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 71 reviews

Yes to Nipple Reduction

Nipple reduction is an easy, quick procedure to correct nipple hypertrophy.  It can be performed at the same time of any breast procedure or on it's own as a local anesthetic in an office setting.  I am surprised we don't perform more of this procedure.

With Warm Personal Regards,

David R Finkle, MD

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 75 reviews

Dealing with large areolas during a breast augmentation

An areolar reduction can be done at the same time of the breast augmentation. I will say though that when we are doing  surgery, we desire to have the least amount of tension on the incision in order to get the best quality scar. Increased tension will potentially cause the scars to heal wider or thicker. In the performance of a breast augmentation, there is increased pressure on the areolar incision, so although it might heal well, you also might have a wider pinker scar. It might be best to do it at a second surgery, likely having it done under local anesthesia if the reduction in size is small.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Nipple reduction and augmentation

it is not uncommon to have a nipple reduction performed with a breast augmentation.  it can be performed with or without an areola reduction

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.