How Can My Nipples Be Reduced and Lifted?

Q: Dr. Eppley, I would like a nipple reduction and have it lifted as the same time. What are my options for having this done? I have attached some pictures of my nipple concerns.

A: Thank you for sending your pictures. In my experience, there are two basic types of elongated nipple deformities. The first type has a narrow base and the nipple length is usually 3x to 5x longer than the base width which is why it hangs down like a willow tree branch. This is the easiest and most successful nipple reduction result as shortening the nipple length immediately lifts the nipple back to its base level. The second type of elongated nipple has a very wide base and the nipple length is only 2x or so of its base width. It is heavy and the entire nipple base sags due to its weight. This is a bit more challenging to get an optimal result as shortening the nipple length with such a side base can lead to a potential ‘pinched’ nipple look. Based on your pictures, you have a type 2 elongated nipples

In addition, there are two types of nipple reduction techniques. The first is a wedge reduction technique where the nipple is bivalved at the desired level and sewn back together. This places the fine suture line across the top of the nipple. This may reduce nipple sensation. This is the best technique for a type 1 elongated nipple. The second nipple reduction technique is a base circumferential (donut) reduction method where a ring of nipple tissue is removed from around the nipple where it joins the areola. A central core of nipple tissue is preserved and the remaining outer nipple is then pulled back and sewn to the areola. This places the suture line around the base of the nipple and preserves nipple sensation. This is often more appropriate for a type 2 elongated nipple though the amount if nipple reduction and lift is less.

Dr. Barry Eppley

Indianapolis, Indiana