Do you feel like your nipples are too large, in either length or width? Do you feel self-conscious about the projection of your nipples? Nipples can be enlarged due to genetics or from pregnancy and breast-feeding. Reducing the size of the nipple is often performed alone or at the same time as breast augmentation, breast lift or breast reduction. Nipple reduction is a safe, simple procedure that generally takes less than 1 hour and can be performed in the office under local anesthesia. Nipple Reduction Surgery can reduce the length, the width or both. Width reduction is performed if your nipple is too wide or too thick. A pie-shaped wedge of tissue is removed from the undersurface of the nipple. The nipple is then tailored in and the circumference reduced. Length reduction is performed if your nipple is droopy or has too much projection. The excess nipple is marked and bisected. Once the excess is removed, the tip of the remaining nipple is sutured to the bottom of the nipple, created a nipple with decreased projection. All of the sutures that are used are dissolvable. The scar is rarely visible. Discomfort is minimal and most patients resume their normal activities the following day.