Nipple Reduction Surgery: What You Need To Know

Nipple Reduction Surgery will correct puffy nipples that are bothersome to men and women.  Puffy nipples in a man can be especially feminizing when the nipple and areola are prominent, large, and stick out.  Often, puffy nipples can be a side effect of gynecomastia or pseudogynecomastia (weight gain).  If you’re unhappy with the size, shape, or position of your nipple on your pecs, Dallas Plastic Surgeon Dr. Azouz is here to help.

What is Nipple Reduction Surgery?

Nipple Reduction Graphic

Nipple reduction is a minor plastic surgery procedure to create more naturally proportioned, (typically) smaller areolas and nipples. Both men and women alike can benefit from this cosmetic surgery procedure, but men who have mild breast enlargement or who dislike the look of their nipples can be very bothered, especially in tight shirts.  Nearly any change in size or shape can be achieved with a minimally invasive cosmetic procedure at Azouz Plastic Surgery in Dallas.

Can I drive myself home after Nipple Reduction?

Likely, you will not be able to drive yourself home from a nipple reduction surgery. This is partly because many nipple reductions take place at the same time as more invasive procedures, such as a breast reduction or breast lift, or for men, gynecomastia surgery. Whenever sedation is used to ensure safety and comfort, patients will not be able to drive themselves home.

Do I need To wear a special garment?

Most likely, men and women undergoing nipple reduction, whether alone or as part of a combination surgery, will likely need to wear a special support garment. This is done to offer support to the tissues as they heal, resulting in a more consistent result and helping to reduce swelling. Dr. Azouz will specify which garments and how long you should wear compression.

Can I shower normally after Nipple Reduction Surgery?

Dr. Azouz will advise when you can take your first shower after your nipple reduction or gynecomastia surgery. 

What is the best position to sleep after Nipple Reduction?

Dr. Azouz will advise you to sleep on your side or back after a nipple or breast cosmetic surgery is performed.

When will I see full results after Nipple Reduction?


As with all surgeries, there is a period of recovery time required to see full results. For people only undergoing nipple reduction surgery, recovery time is expected to be faster than in those who undergo an underlying breast procedure.  For more extensive surgeries, seeing full results may take longer. In either case, you won’t see full results until the swelling has resolved, which can take several months to longer in some cases.

Nipple Reduction Surgery in Dallas, TX

If you’re unhappy with the way your chest looks when your shirt is off, you’re not alone. Men throughout Dallas and Fort Worth have trusted Dr. Azouz for their nipple reduction and male breast reduction surgery to achieve the masculine, contoured chest they’ve always wanted. Learn more about our approach to nipple reduction and other procedures by calling our office at 972-702-8888 or contacting us online today.

The Pros and Cons of Areola Reconstruction

The areola and nipples can often be disproportionate to the breasts, whether this is due to changes in the size of the breasts, pregnancy, and breastfeeding, or genetic factors. Many patients have other abnormalities of the areola and nipples, including gynecomastia in men or inverted nipples. Fortunately, all of these can be resolved through a relatively simple cosmetic procedure. Before you choose to move forward with an areola reconstruction, however, it’s important to understand the pros and cons of the procedure.

Who Can Benefit from Areola Reconstruction Surgery?

Primarily, areola reconstruction surgery serves to change the shape or reduce the size of the areola. It is commonly performed alongside a breast reduction or breast lift, but may also be chosen as an independent procedure.

Candidates often include those who have had a previous breast surgery, which can impact the areola negatively. Areola reduction is also commonly performed on patients who have increased areola size after breastfeeding. Men suffering from gynecomastia may also be candidates for areola or nipple reduction surgery.

Finally, some patients choose a procedure to repair their inverted nipples, which may be the result of scarring or genetic factors. The steps of this procedure differ from a standard areola or nipple reconstruction, but inverted nipple repair is still an available option for patients.

How is Areola Reconstruction Performed?

In a typical areola reconstruction, the procedure is performed by making an incision around the areola and removing excess skin and tissue. Any resulting scarring is well hidden in the border of the areola.

Repairing inverted nipples is completed by making small, hidden incisions to remove scar tissue or other connective tissues holding the nipple in an inverted position.

Are There Risks for Areola Reconstruction?

Like any surgery, there are some risks for areola reconstruction. However, complications are not common.

Some possible complications include bleeding, infection, nerve damage, loss of sensation, and scarring. For some, the ability to breastfeed can also be effected, so most surgeons recommend waiting until you no longer wish to have children before having the procedure.

Dr. Azouz will thoroughly review your health to determine whether you’re a safe candidate for the surgery and explain steps for your recovery period so that you can best avoid any complications from areola reconstruction.

What is Recovery Like?

During the first few days after areola reconstruction, you can expect some swelling and discomfort, though pain can be managed with medication. Serious physical activity should be avoided as you heal. Dr. Azouz will monitor your healing during follow-up appointments and advise when you can return to exercising and performing other strenuous activity. Patients should also be careful to protect the breasts for several months after the procedure, including wearing a supportive sports bra when exercising or playing sports.

Schedule a Consultation with Dr. Azouz

If you’re interested in areola reconstruction, schedule a consultation with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call (972) 702-8888 or request an appointment online.

Areola Reduction Dallas: Can I make my areola smaller?

Nipple Areola Reduction/Reconstruction

The areola and nipples can often be disproportionate to the breast or chest.  Both men and women can suffer from abnormally large or small nipple/areolar size.  This can worsen asymmetry or can cause difficulties with tight-fitting clothing. 

Some of the common causes of nipple-areolar size discrepancies are size changes to the breast such as pregnancy, breastfeeding, and gynecomastia. Genetics can also be a factor in nipple-areola disproportion. Fortunately, all of these concerns can be resolved through a relatively simple procedure called nipple or areola reconstruction.

Nipple Reduction or Areolar Reduction: What are the common reasons?

The most common reason for men to desire nipple/areola reduction is because they have underlying gynecomastia.  In women the most common reason to desire nipple/areola reduction is because they have enlarged or sagging breasts and thus they are in need of a breast lift or breast reduction. 

Some patients are left with a small or a flat nipple areola after surgery.  Dr. Azouz is able to help many patients who have had plastic surgery performed elsewhere and seek more symmetry with a revision procedure.  Dr. Azouz frequently performs revision male breast reduction or revision breast lift. 

Areola Reduction surgery: Who can benefit?

Nipple reduction surgery changes the shape and reduces the size of the areola. Areola surgery can be done by itself or in conjunction with a breast reduction or breast lift. Nipple puffiness can be reduced in patients who have disproportionate areola and nipples due to post breast-feeding and men with “puffy nipples” who are suffering from male breasts. Other candidates include individuals who would like their inverted nipples reconstructed. Inverted nipples may result from scarring or genetic factors.

Areola Reconstruction procedure?

In a typical areola reduction surgery, the first step is making an incision around the areola, followed by removing the excess tissue and skin. By making the incision around the areola the scar is well hidden along the border of the areola/nipple. When repairing inverted nipples the incision is also hidden. After making a small incision the scar tissue or other connective tissue holding the inverted nipple in place is removed.

Nipple/Areola Reconstruction recovery time

Most patients report that nipple reduction is not painful and are able to do light activities such as computer work, and leisure walks within days. Intense physical activity such as lifting heavy weights should be avoided during the initial healing process. With that being said, Dr. Azouz monitors each patient on their individual healing process with follow up appointments and will advise you when you can slowly return to your daily activities and strenuous exercises.

Areola/Nipple Reduction Surgery: Frequently Asked Questions

Nipple reduction surgery is considered permanent. In men the nipple areola can increase or decrease by a small amount with weight changes and it is not uncommon for the nipple to still function normally after surgery.  However, results are generally permanent, dramatic and aesthetically pleasing. The statifiation rate with nipple reduction surgery is extremely high.

Can I make my nipples smaller without surgery?

Surgery is the gold standard to anatomically change the shape, size and prominence of the nipple areolar complex.  Medical weight loss and hormonal treatments are typically not the best method of reshaping the nipple areola.

Is Nipple Reduction Surgery an Outpatient Surgery?

Yes, nipple reduction is performed as outpatient surgery, meaning you go home the same day after surgery.  Similarly, Dr. Azouz performs the vast majority of plastic surgery procedures as outpatient surgery, including breast lift, male breast reduction, areolar reconstruction, and breast augmentation.  

How long is the recovery for Nipple Reduction?

The recovery for nipple reduction is generally quite quick.  Most patients do not report significant swelling or pain. Dallas plastic surgeon Dr.  David Azouz, performs plastic surgery with enhanced recovery. Patients can generally go back to activities including heavy exercise, powerlifting, gymnastics, and contact sports within five to six weeks after their plastic surgery.

Can you fix an Inverted Nipple without surgery?

Inverted nipples are generally repaired surgically.   Inverted nipples are common and can affect approximately 5-10% of men and women.  Nipples can be permanently inverted or temporarily inverted.  Nipple retractors, extractors, shells, and cups are generally associated with temporary and modest results.  Nipple piercing is an option for stabilizing and preventing nipple inversion.  Nipple piercings can eventually be removed once the nipples heal in an everted position. Dr. Azouz is generally able to preserve the milk ducts for patients who undergo nipple reconstruction so they may still breastfeed.

Can a Nipple Reduction be performed at the same time as gynecomastia surgery?

Yes Dr. Azouz frequently performs gynecomastia surgery concurrently with nipple and areola reduction surgery.

Can flat nipples stick out more?

Yes, flat nipples can protrude more with inverted nipple surgery performed by Dallas plastic surgeon Dr. David Azouz.  

Schedule a consultation wiht Dr. Azouz

If you’re interested in areola reconstruction, schedule a consultation with Dr. Azouz at Azouz Plastic and Cosmetic Surgery in Dallas, TX. Call (972) 702-8888 or request an appointment online.