Nipple Procedures

Nipple surgery can restore or improve the appearance of the nipples. Whether you are considering nipple reduction, nipple augmentation, correction of nipple inversion or nipple reconstruction, Dr. Landis can develop a plan with you to achieve your goals.

Nipple Reduction:

Nipple reduction is a surgical procedure designed to decrease the size or length of the nipples. This procedure is often sought by individuals who are unhappy with overly large or protruding nipples, especially after breast feeding. Nipple reduction can be performed under local anesthesia in the Landis Plastic Surgery office, and the excess nipple tissue is carefully removed to achieve the desired size and shape. The procedure typically results in smaller, more proportionate nipples that can enhance the overall aesthetic of the breasts.

Nipple Augmentation:

Nipple augmentation is a procedure that aims to enhance the size, shape, or projection of the nipples. This is often sought by individuals who have naturally small or flat nipples or those who have experienced changes in nipple appearance due to factors such as breastfeeding or aging. Nipple augmentation can be performed using various techniques, including the injection of dermal fillers to increase volume or the placement of a small implant to enhance projection. The procedure is typically performed under local anesthesia and can result in more prominent and aesthetically pleasing nipples.

Correction of Inverted Nipples:

This procedure aims to restore a more projected appearance of the nipple. Often this is present for many years and can only be corrected by releasing the ducts that are tethering the nipple. This can be performed under local anesthesia through a small incision in the nipple. Since ducts are often cut, this may result in the inability to breast feed. Therefore, some women may consider having this performed at the end of childbearing.

Nipple Reconstruction:

Nipple reconstruction is a surgical procedure performed to recreate the appearance of a nipple for individuals who have undergone mastectomy or have congenital nipple absence. This procedure is often part of the breast reconstruction process and aims to restore a natural-looking nipple and areola complex. Nipple reconstruction can be achieved using various techniques, including local tissue flaps or the use of tattooing to create the illusion of a nipple. The procedure is typically performed under local anesthesia and can provide emotional and aesthetic benefits to patients.


Nipple surgery is usually performed under local anesthesia in the Landis Plastic Surgery office. Lidocaine numbs the area being treated. In some cases, general anesthesia may be used if combined with other procedures or if preferred by the patient. The specific technique used will depend on the type of nipple surgery being performed (reduction, augmentation, or reconstruction). Dr. Landis will make precise incisions and carefully reshape or reconstruct the nipples according to the desired outcome.

Recovery and Aftercare:

After the surgery, you may experience some swelling, bruising, or discomfort in the treated area. Dr. Landis will provide you with specific post-operative instructions based on your specific procedure, including wound care, pain management, and when to follow up for a post-operative visit. Typically, a waterproof foam dressing is applied and is worn for one week.

Potential Risks and Complications:

As with any surgical procedure, nipple surgery carries some risks and potential complications, including but not limited to:

  • Infection
  • Bleeding
  • Changes in nipple sensation
  • Scarring
  • Asymmetry
  • Nipple or areolar irregularities
  • Inability to breast feed

 Dr. Landis will discuss these risks with you during the consultation and will take all necessary precautions to minimize the likelihood of complications.


Nipple procedure cost includes the surgeon fee. The total cost for a nipple procedure can range from $1,650 – $4,000 and varies if any additional surgery is required. Dr. Landis will formulate a plan specific for each patient and a detailed estimate will be provided. CareCredit is available to our patients, and we’d be happy to discuss this option with you!


Nipple surgery offers various options for individuals seeking to improve the appearance of their nipples. Whether you are considering nipple reduction, nipple augmentation, correction of inverted nipple or nipple reconstruction, Dr. Landis is dedicated to providing personalized care and achieving natural-looking and aesthetically pleasing results.