Public parking available or drop off along Arab Street, Village Hotel Bugis (Previously known as Golden Landmark Hotel)
Buses (2, 12, 32, 33, 130, 133, 133A, 520, 960, NR7) MRT (alight at Bugis MRT station)
Nipple size and shape can be a source of real and persistent self-consciousness. Whether it's avoiding fitted clothing, feeling uncomfortable during physical activity, or simply noticing a detail that feels disproportionate, these are concerns patients carry quietly.
For women, pregnancy and breastfeeding are the most common causes of nipple changes. Both can permanently alter the size, length, and shape of the nipple, with changes that do not resolve on their own.
For men, prominent or puffy nipples are the result of hormonal variation, weight fluctuation, or natural anatomy, and can compound the self-consciousness associated with gynecomastia.
The surgical goal for Nipple Reduction Surgery is to correct nipples to be proportionate, symmetrical, and natural in appearance. Performed by Dr Ivan Puah as a day-surgery procedure under twilight sedation, techniques are tailored to each patient's anatomy and aesthetic goals.
Book a consultation with Dr Ivan Puah at Amaris B. Clinic in Singapore.
Approximately 10% of women report concerns about nipple size, shape, or symmetry.
A normal female nipple is approximately 1cm in diameter with equal projection.
Nipple reduction surgery typically takes 1 to 1.5 hours.
Most patients return to work within 1 to 2 days.
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.
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.
Nipple reduction surgery is a procedure designed to correct:
Female nipple reduction surgery is frequently performed with liposuction and fat grafting to the breasts for a complete transformation.
Women who benefit most from nipple reduction typically:
Adults with enlarged, elongated, or asymmetrical nipples
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
Those who have completed breastfeeding
Non-smokers or those willing to quit before surgery
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.
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.
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.
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:
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
Adults with enlarged, elongated, or asymmetrical nipples
Men with nipple prominence (puffy nipples) causing embarrassment
Individuals experiencing discomfort from nipple friction against clothing
Non-smokers or those willing to quit before surgery
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.
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:
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.
Male nipple reduction is often performed with:
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 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:
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:
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.
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].
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.
You can return to work in 1 to 2 days after nipple reduction surgery.
At Amaris B. Clinic, nipple reduction surgery is performed under twilight and local anaesthetic for the patient's comfort. After surgery, the patient may experience mild, temporary discomfort, tenderness, and swelling, which can be easily managed with painkillers.
All surgeries require an incision, which will leave scars. If your doctor is inexperienced and did not make a minimal and strategically hidden cut, you are genetically predisposed to scarring and/or you did not take good care of your wound during the recovery period.
Results are permanent. However, just like any part of our body, it will react to weight fluctuations, hormonal imbalances (such as during pregnancy or menstruation), breastfeeding, and even natural ageing.
The difference lies in the direction of tissue removal, the shape of the resulting scar, and the nipple's aspect (width vs. height). The wedge technique cuts a V-shaped slice from the side of the nipple, while the circumferential approach removes a ring of skin at the base of the nipple to reduce height and projection.
Your nipples will look more proportionate to your breasts after nipple reduction surgery.
You may lose temporary numbness, tingling, or decreased sensitivity immediately after surgery as nerves adjust, but the sensation will return in a few days.
Nipple reduction surgery does not alter the appearance of the areola.
Yes, it is possible to breastfeed, albeit not immediately, as the main milk-producing glands remain intact deeper in the breast.
Nipple hypertrophy, or macrothelia, is the enlargement of the nipple, either in length or width. Commonly, in Asian women, a normal nipple projection is at 1cm.
Infection or bleeding are rare, but poor wound care may delay healing.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.
