For women and men with an overly large nipple-areolar complex, nipple reduction surgery can create a more aesthetically pleasing shape and size and eliminate awkwardness and feeling self-conscious.If you feel that your nipples are too large, prominent or out of proportion with your chest, Dr. Shapiro offers a fast procedure that is performed under local anesthesia. This procedure has a very short recovery time with a very high patient satisfaction rate.

This procedure offers the following benefits:

  • Corrects long or overly prominent nipples
  • Improves symmetry of the nipple size and shape
  • Corrects asymmetry
  • Rejuvenates nipples after pregnancy and breastfeeding

Nipple Reduction Surgery

The nipple-areolar complex may be reduced using two primary methods. The first is reducing the nipple itself if it is too long or wide. The areola, or the dark pigmentation around the nipple, may be too large or puffy. The nipple and areola may be reduced together or just one may be reduced.

If the nipple will be reduced, Dr. Shapiro will remove part of the tip, then suture the skin inward to reduce length. To reduce nipple width, Dr. Shapiro will reduce the circumference underneath the skin, then suture the incision closed. Both may be performed at the same time.

The circumference of the areola may also be reduced in a simple procedure. A circular incision is first made around the areola and an even circle of the areola is removed. This will result in a circular scar that eventually fades very well. Many patients do not even have a visible scar.

Many patients choose to have this procedure performed at the same time as other procedures, such as a breast lift or augmentation. The results of this surgery are permanent, although the breasts will still be subject to aging and sagging over time.


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Inverted Nipple Repair Surgery

Inverted nipples may also be corrected. There are varying stages of this issue, and each determines how inverted the nipple is and how likely a woman will be able to breastfeed in the future. With the first degree of inversion, the nipples can “come out” when cold or stimulated. In this case, milk ducts are not harmed and are easily preserved during surgery.

In the case of second degree inversion, the nipples are harder to evert but may “come out” temporarily during stimulation.

There may be damage to the milk ducts, but breastfeeding is still possible. In third degree inversion, the nipples never come out. In this case, hygiene can be a problem, and the milk ducts are restrained by fibrous tissue beneath the skin.

Dr. Shapiro corrects inverted nipples by making very small incisions to free the nipple from fibrous tissue. Internal sutures prevent the nipple from inverting again, and an external “purse string” suture will give the nipple a place to rest as it heals. This surgical procedure is very straightforward and performed under local anesthetic in Dr. Shapiro’s Scottsdale office.

Recovery from Nipple Surgery

Recovery from nipple reduction or inverted nipple repair is quick and fairly painless. Dr. Shapiro may prescribe oral pain medication, but most patients do not need it. Most patients can return to work and normal activities within a couple days, although strenuous activity should be avoided for up to one month.

Some patients experience bruising, which should dissipate on its own within one to two weeks.

Tingling or numbness of the nipples is fairly common and part of the healing process. These sensations typically disappear within four to six weeks.

During the first week, it is best to sleep on your back to help the healing process. Dr. Shapiro may have you wear a surgical bra for the first few days to hold the breasts in the correct position.

Are You a Candidate?

If you have long, asymmetrical, or overly large nipples, and you feel self-conscious and want to change the appearance of your nipples, you may be a good candidate for this procedure. Good candidates should be in good physical health with no history of breast disease and non-smokers.

If you are concerned about the size or appearance of your nipples or areolas, schedule a consultation with Dr. Shapiro to find out if you are a good candidate and discuss whether this procedure is appropriate.

Meet Dr. Daniel Shapiro

A world-class plastic surgeon in a league of his own.

Dr. Shapiro is an award-winning, board-certified plastic surgeon with nearly three decades of experience in his field. With impressive technical skill and a talent for creating natural-looking results, his practice has become a leading destination for discerning patients throughout the country.

Known for his compassion and honesty, Dr. Shapiro strives to educate his patients so that they are empowered about their care. He carefully explains the procedures, expected results, and techniques in a way that anyone can understand. Additionally, he personally guides his clients every step of the way – from the initial consultation to their post-operative care – to ensure an enjoyable experience and the best possible results.

Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Dear Patients,

It is with great pleasure that I announce the reopening of my practice for both surgical and non-surgical services on May 1, 2020. As per the governor Ducey's executive order on April 22, 2020, elective surgery has been allowed to proceed, with appropriate precautions taken by health care professionals to ensure continued vigilance against the spread of Covid-19.

Our office staff and the staff of Paradise Valley Cosmetic Surgery Center and Surgical Recovery Center have proactively taken necessary precautions to meet strict criterion for health providers according to the state of Arizona. These include necessary patient screening for Covid-19, strict protocols for cleaning offices and treatment rooms, adequate PPE, and continued social distancing. As before, waiting areas will have minimal capacity, and friends and family members should not accompany one into offices or treatment areas.

With great anticipation we welcome you back to the practice, and wish you all continued health and safety.

Sincerely, Daniel Shapiro MD, FACS

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