Nipple Hypertrophy

Nipple Hypertrophy


Nipple hypertrophy is a condition in which the nipple is too long, too big or both. The nipple may also appear in an 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 the 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 is harmful to wound healing and increases the risks of other post-operation complications.
  3. Stop the following medications and supplements from one week before surgery until one week after surgery.
    1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
    2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
  4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. 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 actual speed of recovery may vary from person to person.

Technique: The surgeon removes excess nipple tissue is to restore the nipple to the desired size and shape. Only the outer part of the nipple is removed. The core of the nipple, which contains the milk ducts and nerves, is preserved.




Post-operative Care**

  1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that. Post-operative pain is usually minimal.
  2. General care:
    1. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
    2. Avoid pressure on the nipple. Wear a loose bra.
    3. Adequate rest and sleep are helpful for a speedy recovery.
    4. Be relaxed and calm. Contact the clinic if there are any queries.
  3. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
  4. Wound care: Leave the wound dressing on until coming back for review. Change the dressing if it gets dirty or soaked. After removing the wound dressing, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.
  5. Physical activity: Avoid heavy physical activity and exercise for at least one month.
  6. Follow-up: Come back one week after surgery for review and removal of sutures.
  7. Emergency: If there is heavy bleeding, a rapid increase in swelling, or severe pain, contact the clinic/doctor for advice immediately.


**The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.


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