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Male Nipple Reduction

How does Nipple Surgery work for Male?

Male nipple reduction is generally a straightforward procedure performed under local anesthesia for men who are self-conscious about excessive nipple size and/or protrusion.

Many men with enlarged nipples feel uncomfortable wearing light or tight T-shirts or bathing suits. Some wear dark shirts, preferably with lettering across the chest, or wear thick shirts or layers, even during the hot Texas summers. Some use band- aids to hide their nipples.

Distinguishing between enlarged nipples and puffy areolae is important because the surgical treatments are very different. Remember that the nipple is the protrusion in the center of the areola; the areola is the pigmented skin surrounding the nipple.

If you have an enlarged nipple:

  1. The protrusion in the center of the areola is too large and/or projects too much.
  2. The surrounding pigmented skin is generally flat.
  3. The area looks worse when the nipple is cold or stimulated.
  4. The surgical treatment is nipple reduction.

If you have a puffy areola:

  1. The entire pigmented area of skin protrudes and looks “puffy.”
  2. The nipple does not project much beyond the areola.
  3. The area looks better when the nipple/areola is cold or stimulated.
  4. The surgical treatment is male breast reduction for gynecomastia (enlarged male breasts).

Male nipple reduction is performed under local anesthesia and usually takes about a half hour. We have laughing gas available at no additional charge. After the nipples are numb, horizontally-oriented chevron-shaped (think of the Chevron log) removal of excessive tissue is performed. The incisions are closed with absorbable stitches and covered with antibiotic ointment and band-aids.

Pain is mild and generally requires no more than extra-strength Tylenol. Exercise and heavy lifting should be avoided for at least 72 hours. The nipple scars are small and often difficult to find.

Dr. Friedman is among the most experienced plastic surgeons in the United States performing male nipple reduction. When you visit our office, we will be happy to show you what to expect from male nipple reduction. We will also show you a variety of “before and after” photos of male nipple surgeries performed by Dr. Friedman. If you wish to speak to other men who have undergone this procedure, we will happy to provide phone numbers.

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Q & A: Male Nipple Reduction

How much does nipple reduction cost?

Typical cost is $1400 for both nipples. This includes the consultation, surgical procedure, and postoperative follow-up appointments.

Can you make the nipple completely flush?

Although it is technically possible to completely flatten or eliminate the nipple, Dr. Friedman recommends preservation of a small amount of nipple protrusion. The idea is to make the nipple look small and inconspicuous. Conspicuous absence of the nipple is undesirable.

How visible are the scars?

Though every patient differs, the vast majority of nipple reduction scars are nearly imperceptible.

How long do I have to be off work?

Assuming that the job does not require strenuous physical activity, most men can return to work the day after nipple reduction surgery. Some return the same day.

If I feel that the nipple is still too large, can it be reduced further?

Nipple reduction can easily be repeated through the same incision as long as some nipple is preserved, as above.

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Male Nipple Reduction: Instructions

Two weeks before your appointment

  • Do not take aspirin-containing products or anti-inflammatories, as these may increase your risk of bruising. Use extra-strength Tylenol for any headaches or other minor pains.
  • Please notify Dr. Friedman's staff if you become sick with a fever, significant cough, etc. If necessary, your procedure can be rescheduled to a time when you are feeling better.
  • Do not smoke at all or use a nicotine patch for at least two weeks (and preferably 4 weeks) prior to surgery and 4 weeks after surgery. Smoking interferes with wound healing and increases your risk for anesthetic and surgical complications.

At home after the procedure

  • Do not perform strenuous activities or exercise for at least 72 hours after your procedure.
  • You may gently shower over the incisions 24 hours after the procedure. Cover the incisions with antibiotic ointment and band-aids daily for the first week.
  • You will initially notice some swelling of the nipples. This will gradually resolve in the next few weeks.
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© 2018 Ronald M. Friedman, M.D., P.A.

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