Nipple Reduction

Overview of the surgery:

Nipple Reduction is a procedure used to reduce nipple size in a relatively simple procedure. Nipples that droop down or project too far out will be shortened. This is done by removing the tip of the nipple and then closing the new tip with stitches. Sometimes the skin around the neck of the nipple is removed and the tip is stitched to the bottom of the nipple. If the nipple is too wide or thick, but not too long, a pie-shaped wedge will be removed from underneath the nipple. This allows the nipple to be “taken in” and the circumference reduced. Dissolving sutures are used.

Duration of the operation:

Often, this can be combined with liposuction, tummy tuck, nipple reduction and other facial surgeries. The surgery takes 2 to 3 hours under general anesthesia with hospital confinement.

Post operative care:

You may need to return in about a week to have the stitches taken out, but usually this is not necessary as dissolvable stitches are often used. You will be able to shower the following day. Most patients can return to work and resume their normal activities within a day.

Recovery period:

Recovery time will depend on the patient, but most patients can resume their normal activity within a day or two. Patients can shower the day after surgery. Dissolving sutures are used.

Possible risk and complications:

Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, fluid, numbness, or a change in sensation to the nipple; however they are rare and almost always temporary.

The most common risks particular to this surgery are minimal pain and swelling. Your surgeon will administer painkillers and anti – inflammatory medication so that any soreness and swelling will usually disappear by the second or third day. This treatment does not normally affect the ability to breastfeed.

Anesthesia use:

Nipple reduction technique can be performed under local anesthetic and is normally very effective.

Hospital admission:

This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis

Preparation before Surgery

• Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
• Blood and urine samples will be collected for routine preoperative laboratory tests.
• Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

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