How to fix large nipples? I am getting a breast augmentation, can they be made smaller? (photos)

It appears you may have posted a prior question about tuberous breasts, which you do not appear to have. Yes, nipple size can be reduced with a fairly simple additional procedure. Please discuss this with your plastic surgeon. Best of luck to you. 

Dear Angela_1990,generally speaking, you can get areola reduction at the same time as breast augmentation and in combination with subareolar incision. I tend to prefer the periareolar incision because its the most well hidden. There is a natural border between the areola and the rest of the breast skin the hides the incision extremely well. You have to be completely naked to see it vs other incisions like transaxillary and inframammary are visible in clothing such as sleeveless shirts and bikini tops when extending your arms up. I've also noticed increased rates of bottoming out with inframmary incisions that is not reported. Transaxillary implants are always wide in appearance because the surgeon is not able to dissect medially enough to provide better cleavage. Ultimately, I can perform any of the incisions but I recommend the periareolar. There is no difference in sensation because the nerves that control nipple sensation come in laterally from the back and injury to them occurs when surgeons dissect to far laterally which is why transaxillary incisions have the highest nipple sensation disruption. There is no difference in breast feeding ability. One study did show a slight increase in capsular contracture with use of periareolar but that study was small and did not incorporate modern techniques such as below muscle placement, keller funnel usage and triple antibiotic irrigation
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, thank you for the question.
You could get a breast augmentation and aerola can be resized during surgery with no problem. Just make sure youre getting surgery with a baord-certified plastic surgeon.
Best of lucks.
Dr. Luis Mejia

Thank you for your pictures and questions. The short answer is yes, something can be done (if you want) to decrease both the size of the areola as well as decrease the size and projection of the actual nipple itself. If your surgeon has not discussed those options with you and is not considering addressing that at the same time as your augmentation, then maybe you should consider your choice in surgeon. Make sure you are seeing someone who is board certified by the American Board of Plastic Surgery. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Thank you for sharing your question and photographs.  yes it is possible to both reduce the projection and width of your nipples at the same time as your breast augmentation.  Hope this helps.

You appear to be an ideal candidate for a larger profile breast implant and nipple revision, which can be performed during one procedure. It would be helpful if you find photos of your ideal aesthetic so that the right type, texture and profile of implant can be selected for you. Find a highly specialized, board certified surgeon who specializes in this procedure. We are located in San Diego if you would like to come to the west coast!

Hello. Thank you for your inquiry. It is very possible to reduce the size of your areolas.
You may be an excellent candidate for breast augmentation surgery.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind