Surgical technique and incisions
Procedure begins with precise incisions, often placed around the areolar border to concentrate scarring where it is least conspicuous. A segment or wedge-shaped piece of tissue is removed, the nipple is reshaped, and the edges are closed with fine sutures. A protective dressing is applied to support healing and minimize friction during the earliest postoperative days.
Because the operation changes both projection and diameter, the pattern and amount of tissue removed are selected to match the patient’s goals. Incision placement and suture technique shape the final contour while aiming to preserve form and appearance; these choices are reviewed during consultation so you understand the trade-offs involved.
Anesthesia and intraoperative choices
Nipple reduction is frequently performed under local anesthesia with or without intravenous sedation, allowing most patients to avoid general anesthesia. General anesthesia remains an option depending on personal preference or the extent of the procedure. Your anesthesia plan is determined during consultation and balances comfort, safety, and the anticipated scope of work.
The chosen anesthesia affects immediate postoperative monitoring and how quickly you feel ready to leave the facility. When sedation or general anesthesia is used, additional recovery time and monitoring are standard. The surgical team explains what to expect on the day of the procedure so you can plan transportation and aftercare.
Recovery and long-term outlook
The reduced size is visible right away; mild swelling and discomfort typically settle quickly. Fine sutures and the dressing help protect the area while early healing occurs, and follow-up visits ensure the incision is healing as expected. Because incisions are commonly around the areolar margin, visible scarring tends to be limited and situated along that border.
Results are intended to be long-lasting and are typically permanent, though final contour evolves as healing progresses. At our Beverly Hills office—convenient to Rodeo Drive, Santa Monica Boulevard and nearby neighborhoods—your aftercare plan will address local concerns such as sun exposure and hydration in the area’s Mediterranean climate, which can affect early scar care and comfort.
