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 the 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.When it comes to costs of surgery, there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure (quality of surgery facility), type/quality of anesthesia provider… are some of the potential variables involved. You will find some average costs of surgery on this website and on individual plastic surgeons' websites as well. I hope this, and the attached link, helps.