Thank you for the question.Fortunately, nipple reduction is an excellent procedure for the patient suffering from prominent nipples. This procedure can reduce the height and width of the nipple, usually preserving sensation. It can be done under local anesthesia or in combination with other procedures (under general anesthesia).I like to use the “sleeve” technique to reduce the height of a woman's nipple. This procedure leaves the core of the nipple intact preserving nerves and lactiferous ducts. The suture line generally heals very nicely in this area. The width of the nipple can be reduced by removing a triangular segment from the tip area.Risks of the procedure are minimal but include the potential for loss of sensation, asymmetry, inability to breast-feed, infection...I hope this, and the attached link, helps.