Are my nipples too big?

Question

18f and im self conscious about my big nipples is something wrong with them? is it that bad? do i need surgery? (yeah i know i have stretch marks)

Ira H. Rex III, MD · Answer

The only one that can answer this question is you. Depends how much you are bothered by your areola. They are certainly within limits of normalcy. You should speak with a board-certified plastic surgeon to discuss your options and also the risks, which include ugly scars and enlarging of the diameter over time.

Camille Cash, MD · Answer

If you are a candidate the size of the areola can be surgically reduced.  If you are a better candidate for a breast lift, the areola is reduced as part of the surgery.  You can also consider adding implants if you want more volume or upper pole fulness.  See a board certified plastic surgeon near you to learn more.

Jeremy S. Hurren, BSc, MBBS, FRCS (Plast) · Answer

NO, NO and NO!!!No there does not appear to be anything wrong with them. If you have some specific concern about your breasts or nipples then you do need to be seen by a doctor and examined before they can give you an opinion. Your photographs do not appear to show anything of concern. Your areolae are towards the larger end of the spectrum of size but this is not bad. It is not harmful. It is like saying if you are a 5 ft 10 inch female is it bad! No, you are taller than average but it is not bad!No you do not need surgery.If you really do not like them and feel you must do something then surgery may be an option. However, surgery will involve an operation, it will leave scars which may or may not be good. It could affect the sensitivity of your nipples.I would encourage you to see your breasts, areolae and nipples as normal and healthy and avoid surgery. For a slim lady you would appear to have quite large nicely proportioned breasts, love them and get on with your life!Best wishes

Tom J. Pousti, MD · Answer

Thank you for the question.  It is important to differentiate concerns regarding nipple size from areola size (the procedures to reduce nipple size are different from procedures performed to reduce areola size).
 Based on your photographs, I think that you may have concerns about your areola size. Areola reduction  involves  circumferentially removing areola  skin  around a smaller areola design. This procedure can be done under local or general anesthesia. It is often  done as part of a breast augmentation/lift,  breast lift or breast reduction  procedure. If the areola are "puffy" (for example, as seen with constricted or tuberous breasts) some breast tissue excision may be helpful.
Patients should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented).  Some areola  asymmetry may also  be present after surgery.   Their is a small chance that a patient may lose sensation.
As with all plastic surgical procedures, patients must weigh the potential benefits against the potential risks/complications while making decisions.
I hope this helps.

Lawrence Scott Ennis, MD, FACS · Answer

A nipple tuck or a nipple reduction is a breast reshaping procedure that is used to correct nipples that have become too large or have drooped as a result of genetics, weight loss, pregnancy or breast feeding. The nipple tuck,  nipple reduction or designer nipple procedure involves making them smaller by cutting around the perimeter of the areola or at the base of the nipple and removing some of the skin before stitching it up. Not only can this make the nipple itself smaller around but shorter and more youthful as well.

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