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Body Treatment

Nipple Reduction Surgery

NIPPLE REDUCTION SURGERY

Have you ever felt self-conscious in fitted tops or avoided certain activities because of prominent, large, or puffy nipples?

At Amaris B. Clinic, we understand that the size and shape of your nipples can significantly impact your self-esteem and comfort. Nipple reduction surgery is a procedure designed to create more proportionate and aesthetically pleasing nipples.

Performed by Dr Ivan Puah, this precise procedure focuses on refining the nipple's size, projection, and shape to achieve natural-looking results that align with your breast shape and contour.

Understanding Female Nipple Concerns

For women, nipple concerns typically develop after pregnancy and breastfeeding. These life-changing events could permanently change the nipple’s size and shape.

Some may feel that their nipples are too large, too long or too protruding, thus causing them to feel extremely self-conscious.

Reasons Why Women Consider Nipple Reduction Surgery

  • Post-lactational Changes: Elongation and widening of nipples secondary to breastfeeding
  • Congenital Asymmetry: Disparate nipple size
  • Large Nipple Size
  • Prominent Nipple Projection
  • Congenital nipple hypertrophy (Excessive size)
  • Age-related changes in nipple projection
  • Dissatisfaction with natural nipple appearance

Understanding Female Nipple Surgery Benefits

Nipple reduction surgery is a procedure designed to correct:

  • Overly long or projecting nipples
  • Excessive nipple diameter or width
  • Asymmetry between nipples

Female nipple reduction surgery is frequently performed with liposuction and fat grafting to the breasts for a complete transformation.

Ideal Female Candidate Profile

Women who benefit most from nipple reduction typically:

  • Feel self-conscious about nipple appearance in fitted clothing

  • Have physical discomfort from nipple friction against clothing

  • Seek nipple correction as a result of post-pregnancy changes

  • Have realistic expectations about surgical outcomes

  • Desire improved symmetry and proportion

Female Nipple Reduction Surgery

Consultation

During consultation, Dr Ivan Puah will listen to the patient’s concerns, carry out a detailed medical history, physical assessment. He will also carry out discussions of aesthetic goals and functional preservation of the nipples, explain the options and outline what the surgery can achieve for the patient.

On surgery day

Nipple reduction vector

Female nipple reduction surgery is carried out under twilight sedation (not general anaesthesia). During the pre-surgery preparation, he will delineate new nipple dimensions. 

During the 1 - 1.5 hour procedure at an MOH-accredited Day Surgery Center, the patient will be under twilight sedation and well-taken care of by the team’s anaesthesiologist and surgical personnel. Dr Ivan Puah will mark out the ideal nipple size and position.

Next, he will employ surgical techniques tailored to each patient's anatomical needs and aesthetic goals. Depending on the patient’s clinical condition, he may carry out wedge excision to maintain nipple projection while reducing size.

Care is taken to excise the tissue precisely while preserving lactiferous ducts where possible. 

In some cases, circumferential reduction is employed to reduce nipple width and projection. In other instances, combining both techniques is essential to optimise the patient’s results. The patient will be discharged home the same day, with minimal discomfort.

Aftercare is relatively simple and Amaris B. medical team will provide clear instructions and support throughout the healing process. 

​​Recovery and Aftercare

Immediate Post-Op Period (Week 1)

  • Minimal discomfort managed with oral medication
  • Avoid putting direct pressure on the treated area
  • Gradual return to normal activities
  • Protective dressing remains in place

Short-Term Recovery (Week 1 - 2)

  • Stitch removal
  • Continued avoidance of strenuous exercise

Long-Term Healing (Week 3 - 6)

  • Final results become apparent
  • Scar maturation begins
  • Sensation typically normalises

Addressing Male Nipple Concerns

Male nipple protrusion, also known as overly projecting nipple, is an aesthetic concern for men and often causes them embarrassment.

The most common complaint from men is that the nipple sticks out and is visible when they wear shirts. It is possible to reduce the size of the nipples and make them smaller and less conspicuous through nipple reduction surgery.

Understanding Male Nipple Concerns

At Amaris B. Clinic, our forte lies in body and male chest contouring. Common male chest conditions that we have treated over the past 20 years include:

  • True Nipple Hypertrophy: Isolated enlargement of nipple tissue
  • Puffy Nipples: Caused by glandular tissue or fat accumulation beneath the nipple
  • Asymmetrical Nipples: Uneven size or projection between nipples
  • Post-Weight Change Issues: Nipple prominence following significant weight loss or gain

Underlying Causes

  • Hormonal imbalances affecting breast tissue development
  • Genetic predisposition to nipple prominence
  • Weight fluctuations impacting chest contour
  • Natural anatomical variation

Ideal Male Nipple Reduction Candidate

Men who benefit most from this procedure typically:

  • Feel self-conscious about nipple appearance in fitted clothing

  • Experience discomfort during physical activities

  • Seek improvement in chest contour and definition

  • Have realistic expectations about surgical outcomes

  • Are in good general health with stable weight

male Nipple Reduction Surgery

Consultation

During consultation, Dr Ivan Puah will carry out a detailed medical history and a comprehensive evaluation for the patient. He will also carry out discussions of aesthetic goals, assessment of chest wall anatomy and symmetry, explain the treatment options and outline what the surgery can be achieved for the patient.

On surgery day

Performed under twilight sedation for optimal comfort and safety, the procedure typically takes about 1 - 1.5 hours. Dr Puah employs surgical techniques tailored to the patient’s unique needs and aesthetic goals:

Nipple Reduction Surgery Singapore
  • Wedge Excision: For patients who want to reduce size while maintaining natural projection, Dr Puah carefully removes a precise wedge of tissue from the nipple base
  • Direct Excision: When a significant reduction is desired, he trims the nipple's outer edge to create a smaller diameter while preserving sensation and function

In some cases, circumferential reduction is employed to reduce nipple width and projection. In other instances, combining both techniques is essential to optimise the patient’s results.

Dr Puah will work with the delicate architecture of the patient’s nipple, ensuring symmetrical results that complement his natural anatomy. Minimal incisions are strategically placed to be virtually undetectable once healed.

The patient will be discharged home the same day, with minimal discomfort. Aftercare is relatively simple and Amaris B. medical team will provide clear instructions and support throughout the healing process.

​​Recovery and Aftercare

Immediate Post-Op Period (Week 1)

  • Minimal discomfort managed with oral medication
  • Avoid putting direct pressure or friction on the chest area
  • Light activities may be resumed
  • Protective dressing remains in place

Short-Term Recovery (Week 1 - 2)

  • Stitch removal
  • Gradual return to non-strenuous activities
  • Continued avoidance of upper body workout

Progressive Healing (Week 4 - 6)

  • Full return to normal activities
  • Final results become apparent
  • Scar maturation begins
  • Strenuous exercise and weight training may resume

Our Nipple Reduction Surgery Principles

Nipple Reduction Surgery Singapore
  • Preservation of natural nipple sensation where possible
  • Attention to aesthetic proportions
  • Minimal visible scarring techniques
  • Comprehensive tissue management approach

Nipple reduction is a surgical procedure designed to decrease the size and enhance the shape of the nipples.

This procedure can reduce both the height and width of the nipple and shape it into a more aesthetically pleasing form.  

Find out more today!

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Popular Combined Procedures with Male Nipple Reduction

Male nipple reduction is often performed with:

  • Gynecomastia surgery (Chest reduction)
  • Liposuction for waist and abdomen

Your Nipple Reduction Surgery Journey at Amaris B. Clinic

Whether you are a man or a woman, your journey at Amaris B. Clinic is built on personalised care, clear communication, and surgical precision.

While nipple reduction is considered a safe procedure, Dr Puah believes in transparent communication about potential risks, which may include temporary changes in sensation, minimal scarring, or rare infection. His meticulous technique significantly minimises these risks.

Whether you're considering nipple reduction for cosmetic reasons or correction for functional improvement, we provide a confidential, understanding environment to explore your options.

NIPPLE REDUCTION SURGERY COSTS IN SINGAPORE

Nipple reduction surgery is an elective procedure, therefore it is not covered under insurance or Medisave.

What affects the cost?
Your total surgical fees vary based on several factors such as:

  • Your doctor’s experience
  • Anaesthesia type (Local or general)
  • Duration of anaesthesia
  • Specific surgical techniques employed
  • Facility charges (Hospital or day surgery)
  • Your unique anatomy and tissue complexity
  • Miscellaneous charges such as laboratory investigations, etc

SEE OUR PATIENT CASES DURING YOUR PRIVATE CONSULTATION

We provide before-and-after photos privately during your one-on-one consultation with Dr Ivan Puah. You will be able to view anonymised images of actual patients who had undergone nipple reduction surgery.

They allow you to:

  • Visualise potential outcomes specific to your condition
  • Understand surgical approaches in detail
  • Discuss realistic expectations for scarring, recovery, and results

Disclaimer: While these clinical visuals are shared in-clinic for your education, MOH strictly prohibits displaying before/after images in ANY public advertising (website, social media, brochures etc.). We fully comply to ensure ethical patient communication, no unrealistic outcome promises and protection of patient privacy. Visual examples are for educational reference only - individual results vary based on your unique condition.

Dr Ivan Puah

Dr Puah brings over 20 years of surgical experience and a dedicated focus on body contouring. He understands the delicate nature of nipple reduction surgery and combines technical skill with an aesthetic vision to deliver results that are subtle, symmetrical, and natural.

Breast fat grafting

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FAQ

Do men’s nipples serve a purpose?

Nipples do not serve any physiological purpose in males. However, they can be sensitive to touch and may provide sexual stimulation. Research indicates that men have a dense network of nerve endings in their nipples, and stimulating this area can activate brain regions similarly to genital arousal [1].

Recovering from male nipple reduction

You can expect some  tenderness around the treated area, but these will gradually subside. Do follow the required post-op instructions as dispensed by the doctor.

How long do I have to be off work?

You can return to work in 1 to 2 days after nipple reduction surgery.

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