Nipple Procedures

Are you concerned with the size, shape, or placement of your nipples? Dr. Koenig and Dr. Amalfi offer procedures to address both large nipples or those that are inverted. These can be done either in the office or combined with breast or body surgery, offering personalized options our patients from Rochester, Syracuse, and Buffalo, New York, and surrounding areas.

Model

Nipple Procedures

Nipple Reduction

Some women are self-conscious about their nipples when they are too prominent. It can be impossible to go without a bra and some women will experience irritation and chaffing of their nipples even when wearing a bra. The reduction of very prominent nipples can be performed while retaining sensation with a simple office procedure at the Lindsay House and performed under local anesthesia. The results are very predictable and the scars are virtually undetectable.

Featured
Nipple Procedures Before & After Photos
Case: 1 of 9
Previous
Case: 1 of 9
Next
Case #195
Procedures Performed
Provider
Age
39
Description
Nipple reduction
Nipple Procedures Case 195 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1001662
Procedures Performed
Provider
Age
41
Description
This patient had an inverted nipple on her right breast, which Dr. Amalfi corrected with an in-office inverted nipple procedure.
Nipple Procedures Case 1001662 Before & After Front | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #196
Procedures Performed
Provider
Age
49
Description
Male nipple reduction
Nipple Procedures Case 196 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1150
Procedures Performed
Provider
Age
49
Description
Inverted nipple repair
Nipple Procedures Case 1150 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1151
Procedures Performed
Provider
Age
31
Description
Nipple reduction
Nipple Procedures Case 1151 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1158
Procedures Performed
Provider
Provider: Quatela Center for Plastic Surgery
Age
51
Description
Nipple Repair Before and After Photos
Nipple Procedures Case 1158 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1066
Procedures Performed
Provider
Age
23
Description
Inverted nipple repair
Nipple Procedures Case 1066 Before & After View #1 | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter
Case #1001663
Procedures Performed
Provider
Age
21
Description
Dr. Koenig performed an in-office nipple reduction procedure on this male patient who wanted to reduce their size. 
Nipple Procedures Case 1001663 Before & After Front | Serving Rochester, Syracuse & Buffalo, NY | Quatela Center for Plastic Surgery
BeforeAfter

Areola Reduction

Some patients desire a reduction of the areola when it is prominent and covers a large area of the breast. This can be done as part of a mastopexy (breast lift) operation or a breast reduction. Scars generally heal well but are slightly detectable around the circumference of the nipple.

Surgeons of the Quatela Center for Plastic Surgery
Your Safety Is Our Priority

Our plastic surgeons review a variety of factors to ensure plastic surgery is a safe choice for you.

Inverted Nipple Repair

Inverted nipples are a lot more common than people realize. Approximately 10-20% of women, and many men, have inverted or flat nipples. Inverted nipples go inward, or lay flat against the chest, instead of protruding outwards.

An inverted nipple is caused by tissue in the breast that is attached tightly to the inside of the nipple skin. This pulls it inward toward the inside of the chest. The force of tight, shortened milk ducts can be greater than the muscle in the nipple that pulls it outwards, causing the inversion.

Nipples can be inverted from birth or invert later in life. Nipple inversion is often times genetic and exists at birth or happens during puberty as the breasts develop. If it’s not genetic, inversion can happen due to constricted milk ducts, scarring of the milk ducts due to breastfeeding, or a lack of skin at the base of the nipple.

Quatela Center for Plastic Surgery surgeons Dr. Koenig, Dr. Amalfi
Quatela Center for Plastic Surgery
Choosing the Right Plastic Surgeon
William J. Koenig, M.D.
Specializes in Breast & Body Procedures
William J. Koenig, M.D.

Dr. William J. Koenig is a double board-certified plastic surgeon with over 26 years of experience. He specializes in breast and body procedures and has performed over 6,000 breast augmentations throughout his years of practice.

Ashley N. Amalfi, M.D.
Specializes in Breast & Body Procedures
Ashley N. Amalfi, M.D.

Dr. Ashley N. Amalfi is a board-certified plastic surgeon who specializes in cosmetic surgery of the breast and body. With her experience and innate attention to detail, Dr. Amalfi achieves personalized surgical outcomes that help patients look and feel their best.

It is important to note that if you have never had inverted nipples before and they change, this can be a cause for concern and should be mentioned to your doctor. Unfortunately, new nipple inversion can indicate breast cancer so it is best to speak to your healthcare provider to ensure that is not the case.

In order to correct inverted nipples, a minor procedure is usually necessary. This is done in the office under local anesthesia and takes less than an hour. Two stitches are placed underneath the nipple to create a pad for it to sit on and remain outward.

A local anesthetic is used during inverted nipple correction and there may be slight discomfort when that wears off. However, discomfort usually does not last longer than a week. Patients are able to return to work after the procedure but are asked to avoid exercise and strenuous activity that would cause rubbing against the nipple area for about a week.

Since the milk ducts are divided or lengthened during the inverted nipple procedure, breastfeeding will not be possible afterwards. This is something that you need to consider prior to the procedure and perhaps decide to have your nipples corrected after breastfeeding is complete.

Woman standing in front of private jetModel
Surgical Destination
We’re Worth The Trip!

As a destination practice offering world-class care, the Quatela Center attracts patients from around the globe. Our virtual consultations and support program take the effort out of travelling for surgery.

Get the Latest News and Specials

How Much is Nipple Reduction Surgery?

The cost of nipple procedures, including inverted nipple repair, varies depending on your specific needs and goals. All prices quoted from the Quatela Center are all-inclusive and include pre- and post-operative appointments, surgeon’s fees, surgery center fees (if applicable), and anesthesia costs. For more information, see our page on Plastic Surgery Costs.

Woman looking up from phoneModel
For Our New York Neighbors
Quatela Center for Plastic Surgery

The Quatela Center for Plastic Surgery in Rochester is proud to serve patients from throughout Upstate NY. We are honored to be the area’s premier plastic surgery center, and give every patient our undivided attention and the quality of care they deserve. Learn more about how we support our New York patients on their surgical journeys:

Contact