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Okay, I agree. It’s an awkward topic. But many men come to our office seeking reduction of nipple size. They complain that their protruding nipples cause self-consciousness when wearing a bathing suit or a light T-shirt. Some men cover their nipples with band-aids. Some just wear dark shirts or shirts with lettering across the chest.
Fortunately, reducing large male nipples is generally a straightforward office procedure performed under local anesthesia.
Before we discuss the procedure, it is important to distinguish between excessive nipple size and puffy areolae. The nipple is the protrusion in the center of the areola; the areola is the pigmented skin surrounding the nipple. If the areola projects too much and looks puffy, this signifies enlarged male breasts (called gynecomastia), which can also be treated surgically. Please see our male breast reduction webpage for more information about gynecomastia treatment. The important point is that nipple enlargement is much simpler to treat than areolar or breast enlargement, though both are quite treatable.
Also remember that if your nipples are large, they will look worse with cold or stimulation. On the other hand, if your areolae are puffy, they will look better with cold or stimulation.
Nipple reduction surgery is performed under local anesthesia and typically takes about 30 minutes. For your comfort, we also have laughing gas available at no additional charge. After the numbing medication is placed, a chevron-shaped (think of the Chevron logo) removal of excess tissue is performed, and the incision is closed with absorbable sutures. I generally recommend leaving a small amount of residual nipple projection. The areas are covered with antibiotic ointment and band-aids.
Pain is usually mild and well-controlled with Tylenol. Strenuous exercise should be avoided for a few days. The resulting scars are generally inconspicuous and are often difficult to find. Surgical cost is $1400 for both nipples.
Patient 1 (same patient as above):