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

Question

I am very unhappy with my nipples they are so large and stretched out from breast feeding. I am getting a breast augmentation September 2 and decided on 400 cc cohesive gel implants under the muscle high profile. I would also like a second opinion on the size and shape of implant based on my desired look. My question is, what can be done about my nipples? Is there any way to make them smaller some how?

Ram Kalus, MD, FACS · Answer

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.

James J. Chao, MD · Answer

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!

Daniel Barrett, MD · Answer

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

Luis A. Mejia, MD · Answer

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

Dallas Buchanan, MD · Answer

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

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

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Answer: How to fix large nipples? I am getting a breast augmentation, can they be made smaller?

Answer: How to fix large nipples? I am getting a breast augmentation, can they be made smaller?

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

Answers (7)

Answer: My recommendation

Answer: My recommendation

Answer: How to fix large nipples? I am getting a breast augmentation, can they be made smaller?

Answer: How to fix large nipples? I am getting a breast augmentation, can they be made smaller?

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.