Genetics and Lifestyle Influence the Need for Nipple Reduction Procedures

There is a surprisingly high number of women and men who feel their nipples are just too large or wide for their breast. Genetics usually accounts for this condition of large, prominent, protruding, droopy nipples. The form, balance, and symmetry of the breast often impacts how people feel about their appearance and typically causes problems in the selection of clothing and activities. Even though men and women live with it for years, today in our enlightened society they are realizing it can be corrected with a nipple reduction procedure. They can have a normal, attractive looking body and they have options to achieve this.

How Do People Benefit from Nipple Reduction Surgery?

  • Nipple reduction corrects long, droopy, overly prominent nipples
  • It improves the symmetry of the nipple area shape and size
  • Nipple reduction surgery improves balance and how you feel about it
  • It rejuvenates nipples after pregnancy and breastfeeding
  • It reduces asymmetries
  • Nipple reduction is often combined with Areola reshaping and reduction
  • It can achieve beautiful, natural-looking results
  • It improves self-image and feelings of sexuality

Dr. Rudderman is one of Atlanta’s surgeons of choice. He is specialized in many complicated problems of the breast and he employs delicate, advanced techniques to achieve the most natural-looking results possible.

Who is a Good Candidate for Nipple Reduction Surgery?

Do you have any of the following concerns?

  • Long, droopy, overly prominent nipples
  • A nipple that is asymmetrical in shape
  • Nipples that have changed since pregnancy and breastfeeding
  • You have always been embarrassed by your nipples
  • Clothing choices are always difficult and discouraging
  • You fret about the appearance of your nipples
  • Your nipples clearly are not in balance with your breasts
  • Have a strong desire to change how your nipples look and act

If you answered yes to one or more of these concerns, you could be an ideal candidate for Dr. Rudderman’s Nipple Reduction procedure. Good candidates should be in otherwise good health, with no history of breast disease and no untreated illness or medical condition that can impair normal healing.

The Professional Consultation

Dr. Rudderman believes the consultation is critical for you and him. The consultation includes the following: a thorough education of your condition, your options, desires, realistic expectations, and a personalized treatment plan. All of your questions will be answered and your concerns addressed.

These treatments are not an emergency, and plenty of time will be allowed to have a full conversation to consider options. Additional visits can be provided until you feel confident that you are making the best decision for yourself in health, safety, and outcome.

Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. From the consultation evolves…trust, respect, mutual understanding and a personalized treatment plan.

After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman…that difference means understanding your desires and goals and providing a level of service that places safety and comfort alongside predictable and pleasing outcomes.

Contact us at 678.566.7200 to meet with Dr. Rudderman in our Alpharetta or Midtown Atlanta offices.

Written and reviewed by:

This article was written by Dr. Randy Rudderman, who is board certified by the American Board of Plastic and Reconstructive Surgery (1994). He practices medicine at his offices in Alpharetta and Atlanta.
Learn more about Dr. Rudderman, his medical training, and credentials.


  1. You will wake up with a small dressing over the treated area and a surgical bra –
  2. Mild swelling and some discomfort is normal and to be expected – this resolves on its own and often requires only acetaminophen
  3. You will be seen in the office 24 hours post-surgery and given a more comfortable bra
  4. Swelling generally is mild and resolves in 1-2 weeks
  5. Sutures are removed in 1 week. Some sutures are absorbable and do not need to be removed
  6. Most patients who have surgery can return to work the following day.
  7. Avoid strenuous activity for 3 weeks. Dr. Rudderman will tell you when you can start to exercise again
  8. Measurable results are typically visible immediately…but be patient…healing and stabilizing takes time. It can take months for the “new you” to be clearly seen.


The results of this procedure are long-lasting. A good follow-up plan is necessary. Additional surgery to further improve the appearance is unlikely. All breast need good long term follow-up for evaluation of breast disease by your practitioner of choice.

Nipple Reduction FAQ’s

What is Nipple Reduction surgery?

Nipple Reduction surgery involves reducing the size (projection) of the nipple. Nipples frequently become enlarged after pregnancy, but may be enlarged during puberty and breast development.

Why treat enlarged nipples?

Enlarged nipples can be problematic in clothing and difficult to cover even with bra padding. Enlarged nipples in some women may be hypersensitive and uncomfortable in clothing. And enlarged nipples can be difficult to cover in bathing suits and workout clothing.

How is Nipple Reduction surgery done?

Precise incisions are made to reduce the excess nipple tissue and delicate sutures are used to complete the surgery. A light dressing for cover is applied. The resulting nipple typically heals with imperceptible incisions and little or no trace of prior surgical treatment.

Will I have sensation in my nipples after Nipple Reduction surgery?

Sensation may change following nipple reduction surgery because the segment of your nipple will be reduced. Those who have high nipple sensitivity, or who are concerned regarding possible changes relating to sexual stimulation should discuss this during the consultation. Significant changes (reduction) in sensation can occur following nipple reduction.

Will I be able to breast feed after Nipple Reduction surgery?

Nipple reduction should not be done if you are planning another pregnancy and want to breast feed your child.

Will I have a board certified anesthesiologist for my Nipple Reduction surgery?

Yes. All cases are supervised a Board Certified medical doctor who has specialized in anesthesiology.

Does Dr. Rudderman perform the entire Nipple Reduction surgery?

Yes, he performs all of his patient’s surgeries. Many surgeons use assistants to suture or perform part of the operations. Dr. Rudderman performs the entire operation on every patient.

Is the surgery done in an accredited facility?

Yes. All of our surgeries are performed in a fully accredited surgery facility using state of the art technologies and a world-class staff with all the comfort and safety factors as a hospital surgery suite.

Will there be any pain with Nipple Reduction Surgery?

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that maximize discomfort during his surgical procedures. Many patients will take Tylenol only, however some pain medications may be taken for relief for1-2 days after surgery.

How will I look after Nipple Reduction Surgery?

Most patients will look close to normal right after surgery. Some patients may look nearly fully normal within a few days.

How long before I can exercise after Nipple Reduction surgery?

You will need to avoid all rigorous, strenuous activities for a 1-2 weeks until healing is adequate and Dr. Rudderman tells you it’s ok. Aerobic exercise increases your heart rate and blood pressure and can cause the operated area to swell delaying your healing. We will see you frequently during your healing process to help you return to your normal activity as soon as possible. Exercise can be an important part or recovery, and we follow your recovery closely to help you reach your goals.

How long before I can return to work after my Nipple Reduction surgery?

Dr. Rudderman’s patients most often return to desk jobs in about 2-4 days. He can give you a time frame specific to you during consultation.

Will insurance pay for Nipple Reduction surgery?

Nipple reduction surgeries are considered to be cosmetic procedures. Cosmetic procedures are not covered by insurance.

Is financing available for Nipple Reduction Surgery?

Yes. Financing through Care Credit is available for all the breast procedures Dr. Rudderman performs.

Will I need someone to take care of me after my Nipple Reduction surgery?

You will need someone to drive you to and from your surgery, stay during surgery and remain with your overnight (24 hrs) after you have had anesthesia. Your follow-up visit will usually be within 24 hours, and you should be able to drive to this appointment if you are not taking pain pills.

  • Dr. Rudderman and his staff made the experience easy and comfortable. They were realistic communicating surgery expectations, expected pain levels and down time from work. Nurses were informative and friendly and wait times minimal. I also liked the fact that Dr. Rudderman does all his own work and doesn't let other less experienced people do parts of the surgery the way other doctors may. I'm only one week out of the surgery, but I am very satisfied with the results so far.

    Susan Parker | Atlanta, GA


Dr. Rudderman’s unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form. He understands that the body changes with time – as do desires. His primary goal is to deliver the best possible plastic surgery … specifically matched to each patient…in a safe environment with ultimate respect for every single individual…their concerns and goals. LEARN MORE »

“The best plastic surgery results must give each individual the opportunity to feel comfortable now and in the future…”

Dr. Randy Rudderman

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