The appearance of large nipples can be reduced through a simple procedure known as areola reduction surgery. Sometimes it is solely the size of the areola, or the nipple/areola may be “puffy.” The dark-skinned area around the nipple, called the areola, can be reduced with the removal of excess tissue. Our experienced plastic surgeon, Dr. Paul LoVerme, will make a small incision around the areola and remove this excess tissue, then reshape and resize the areola. There is generally minimal scarring, and what little there is can be difficult to detect. The whole procedure typically only lasts about one hour under local anesthesia, with or without sedation, and you can usually return to a normal routine within a day. Areola reduction surgery is often performed in tandem with breast reduction and breast lift procedures, also available at our Northern New Jersey practice.