Aesthetic areola and nipple surgeries have always excited women around the world. The areolas and the whole nipple-areola complex are extremely important for the aesthetic appearance of the breast! And for a woman’s sexual self-esteem!

Disproportional areolas and puffy nipples can make your breast look unbalanced and odd. It is something we don’t see very often but it can be a real problem that may affect your self-esteem and make you feel uncomfortable.

The reduction and general correction of the nipple-areolar complex is an important part of plastic surgery, which is sometimes performed together with other cosmetic breast surgeries such as breast lift, breast augmentation, or breast reduction. Often, nipple or areola reduction are stand-alone operations. Here we will talk about this option. To understand both procedures – nipple reduction technique and areola reduction surgery we should first know what is a nipple, what is an areola, and what determines their size?

What do you need to know about your nipples?

First of all, it is important to differentiate both areas of your breast. The areola is the brown area around the nipple. As you probably know breasts may come in all different sizes and colours. But did you know that there are different types of nipples? Female breasts are so diverse. The same goes for the nipples. There are several types of nipples and probably yours fall into one of them. They can be normal, puffy, flat, inverted (they include 3 grades of inversion), and others. Normal nipples stick out a little bit from the areola and more when they are cold or aroused. Flat nipples are these that don’t stick out but they can protrude when it’s cold. Inverted nipples are normally pressed into the areola. Puffy nipples are where all areola is raised in comparison to the skin of the breast.

Only around half of women actually have normal nipples. However, the other types are not an indicator of a health concern but they can be an aesthetic problem for some people.

Puffy nipples may occur in both men and women. The condition is often called nipple hypertrophy. Most often these nipples are hereditary but you can also develop them over time because of hormonal changes in puberty, during pregnancy, and so on.

young mom blonde breastfeeds her baby in bedroom

In some women who have to breastfeed typically multiple children, the breast has gotten smaller and the nipples which used to be smaller have elongated but never really got back to their original size and shape after breastfeeding. In men, large nipples often occur due to gynecomastia.

Nipple reduction in Singapore

If you feel your nipples are too large, too protrude and they make it difficult wearing tight-fitting clothing you may be a candidate for nipple reduction surgery. This a technique that reduces the nipple size and improves its appearance. The procedure is very simple and it is performed under local anaesthetic. During the nipple reduction surgery can be corrected problems such as:

  • reducing the nipple length;
  • correcting it in diameter by removing a wedge-shaped area from the nipple;
  • correcting abnormalities in the shape of the nipple such as little nodules or irregular nipples and so on.

Nipple reduction surgery improves the balance between the nipples and areolas and the appearance of the nipple and the whole breast. Breast implants combined with nipple reduction operation can create a very nice shape of the nipple.

How is nipple reduction surgery performed?

  • Preoperative marks are made to achieve ideal nipple projection;
  • Local anaesthesia is applied;
  • Small incisions are made on the nipple base;
  • The portion of the skin is removed and the rest of the nipple is pulled down;
  • The incisions are closed with sutures.

Nipple reduction surgery can be done only by board-certified plastic surgeons usually in the office. After this operation, the shape is improved. The resultant scar is usually very small.

The surgery takes less than an hour. It is a fairly safe procedure with minimal side effects and minimal recovery. The results are permanent.

Male nipple reduction surgery

Male nipple reduction surgery is usually similar. The difference is that men often want to achieve smaller nipples which require a drastic reduction in size.

Is nipple reduction painful?

The procedure is done under local anaesthesia that numbs the area. During the operation, you may feel the initial injection that may cause a little bit of discomfort. After that, you will not feel any pain. Once the operation is done, you can expect some side effects such as bruising, swelling as well as moderate pain. However, these complications can be easily controlled with medications.

What is the recovery time?

The recovery period is not too long – 1 to 2 weeks. During this time you should avoid exercise and lifting heavy things. The scars usually heal very well and the sutures absorb on their own. The final results can be seen within 4 to 6 weeks following the operation.

Are there any risks of the surgery?

There is a risk of blood supply being altered to the end of the nipple especially if you are a smoker. That’s why it is important to stop smoking at least a month before the operation. Also, like any other plastic surgery, there are risks of bleeding and infections but they are very rare. Nipple reduction surgery sometimes may lead to loss of nipple sensation.

Who is a good candidate for nipple reduction?

Good candidates for nipple correction are all men or women that have large and prominent nipples. Patients should be healthy not only physically but mentally too. They also should have realistic expectations. The general thing is that before the operation, as well as in all breast surgeries, some specific tests are needed!

Women should keep in mind that this surgery can make breastfeeding more difficult or even impossible due to the risk of damage to the lactiferous ducts. It is a good idea to discuss your future plans with your surgeon.

How much does nipple reduction surgery cost in Singapore?

The average cost of the nipple reduction procedure in Singapore is between $2000 and $4000. It is a cosmetic surgery that is usually not covered by insurance.

What is an areola?

To understand what are areolas and what problems can occur in them let’s first look at the anatomy and characteristics of the areolas. The pigmented area around the nipple is known as areola. During pregnancy, it usually darkens, as it helps the baby to find a place to apply the lips. Like the nipples, areolas also come in different sizes, shapes, and colors. Some women may have very big areolas while others have very small. Areolas also can be oval, round, shapeless, or elliptical. Depending on the pigmented melanin, the color of the areola can vary from light pink to brown or black. The colour scheme also depends on the hormones. It usually darkens during pregnancy.

The size of the areola also varies. It is much higher in women than in men and girls before puberty. The areola in men is up to 25 mm in diameter, in women – up to 30 mm. Many women worry that their areolas look different or not “normal” but there really is no normal. Big areolas are as common as big nipples and there is nothing unusual in both conditions. However, many people feel uncomfortable about the size of their areolas.

What can cause large areolas?

Genetics play a big role in the size and shape of the areola. If your mother and grandmother have large areolas with a dark colour and elliptical shape, then most likely it will be hereditary.

Areolas can also increase their size due to various reasons such as:

  • hormonal changes;
  • puberty;
  • menstruation;
  • pregnancy;
  • childbirth and breastfeeding.

Areola reduction surgery in Singapore

A large areola in women or men is usually not related to any health problems, but it can cause discomfort. This shape is not considered ideal in terms of beauty standards. The problem can be easily corrected with areola reduction surgery. This is a simple surgical procedure that reduces the areola size and improves breast appearance. It is usually performed under local anaesthesia and includes the following steps:

  • the new areola is carefully measured by using special devices;
  • a circular incision is made along the border of the areola;
  • a doughnut-shaped piece of tissue is cut out of the areola;
  • the new areola is secured with permanent suture deep inside of the breast;
  • the incision is closed with stitches.

The procedure itself is quick and it does not require a hospital stay so you will be able to go home soon after the surgery.

Areola reduction is often combined with other surgical procedures such as breast lift, breast reduction surgery, or breast augmentation.

What is the recovery period?

Because the procedure doesn’t require general anaesthesia the recovery period is very quick. You can expect some pain that can be managed with painkillers. You will be asked to wear a support bra for a few weeks and avoid strenuous activity or lifting heavy things. During the first week of your healing process, you’ll need to sleep on your back so you don’t injure or put too much strain on your chest. Also, make sure your surgical bra is not too tight, since it can cause some complications.

What are the risks of the surgery?

The surgery is generally safe. You can expect swelling, bruising, and discomfort for the first few days. Side effects such as infections, sensation changes, scars, and damage to the milk ducts are rare. All possible side effects and complications should be discussed with the surgeon before the operation.

How much does areola reduction cost in Singapore?

The average price of areola reduction in Singapore is somewhere around $2000 – $4000. If you want to combine the operation with other procedures such as breast enhancement or breast lift, the cost will be higher. Areola reduction surgery is normally not covered by insurance.

To conclude

All nipples and areolas are pretty much normal. And unless you are a breastfeeding mom or considering a job in the adult entertainment industry the size and shape of your nipples and areolas doesn’t really affect your life very much. However, it is always better to feel more comfortable with your body!