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Nipple hypertrophy is a condition in which the nipple is either too long, too big, or both. Sometimes the nipple also appears in abnormal shape. Nipple hypertrophy can occur in both female and male patients. The prominent nipple may be visible through clothes and cause embarrassment to the patient. The enlarged nipple can also feel uncomfortable when rubbing against clothing.


The treatment for nipple hypertrophy is nipple reduction.




1.    Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.

2.    Stop smoking at least one week before surgery. Smoking negatively affects wound healing and increases the risks of other post-operation complications.

3.    Stop the following one week before surgery:

a.    All supplements that contain vitamin E, ginseng, ginkgo, garlic, fish oil and other ingredients that increase bleeding during surgery

b.    Medicine that increases bleeding during surgery such as aspirin, NSAIDs and warfarin. However, you may need to consult your physician who prescribed the medicine before you stop them.

4.    On the day of surgery, wear simple and comfortable clothing. Do not wear any jewelry and metal objects on the face and body.




Duration: one hour

Anaesthesia: Local anaesthesia

Hospitalization: Not required

Recovery*: Back to work the next day, light exercise after one week, heavy exercise after 3-4 weeks.


*The speed of recovery and duration of rest may vary from person to person and also depends on the physical burden of the work and exercise the patient is going to resume.



Technique: Excessive nipple tissue is removed to restore the nipple to the desired size and shape. Usually only the outer part of the nipple is removed. The core of the nipple where the milk ducts are located is preserved.



Post-operative Care**

1.    What to expect: Swelling usually peaks on second to third day after surgery and gradually subsides thereafter. Post-operative pain usually is minimal.

2.    General care

a.    Apply cold pack first 3 days and warm pack thereafter.

b.    Avoid smoking for at least one month. Smoking increases the risk of wound complications.

c.    Good rest and sleep can help the wound to heal faster.

d.    Sleep on the back. Avoid sleeping on one side to prevent pressure on the nipple.

e.    Be relaxed and calm, as unnecessary anxiety and worry will slow down recovery. Contact the clinic if there are any queries.

3.    Medicine: Finish the oral antibiotics as prescribed. Take the painkiller as prescribed when necessary.

4.    Wound care: Clean the wound with a clean cotton tip with sterile water/saline and apply antibiotic ointment thereafter.

5.    Physical activity: Avoid heavy physical activity and exercise for at least one month.

6.    Follow-up: Come back one week after surgery for suture removal and review.

7.    Emergency: If there is heavy bleeding, rapid increase in swelling or severe pain, immediately contact the clinic/doctor for advice.

**The instructions in this section are not meant to be exhaustive and are only for general references. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.


Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia

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