Enhance Proportion and Symmetry with Expert Care

At PSG, we understand that the details of breast appearance—including the size, shape, and position of the nipples and areolas—can have a meaningful impact on confidence. Changes related to genetics, pregnancy, breastfeeding, weight fluctuations, or aging can alter the appearance of these features over time. Our board-certified plastic surgeons perform nipple and areola reduction procedures designed to restore harmony, proportion, and symmetry to the breasts. Using meticulous surgical techniques and a focus on natural results, we help patients achieve subtle refinements that enhance both comfort and confidence.

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What Is Nipple and Areola Reduction?

Nipple and areola reduction, sometimes referred to as nipple-areolar complex (NAC) surgery, involves reducing the size, shape, or projection of the nipples and/or the pigmented skin around them. It can also correct asymmetry, lift downward-facing nipples, or address inverted nipples.

These procedures are delicate and highly customizable. During your consultation, your surgeon will develop a surgical plan that complements your breast shape and overall proportions.

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Why Consider Nipple or Areola Reduction?

Patients pursue nipple and areola reduction for a variety of aesthetic and functional reasons. These procedures can improve proportion, symmetry, and overall breast balance while addressing concerns that may affect comfort or confidence. Common reasons patients consider this procedure include:

  • Improving symmetry and proportion between the nipples and breasts
  • Reducing prominent or enlarged nipples visible through clothing
  • Correcting stretched or irregularly shaped areolas
  • Lifting downward-facing nipples or restoring balance between sides
  • Correcting inverted nipples that retract beneath the skin
  • Removing extra (“supernumerary”) nipples for a smoother chest appearance
  • Restoring confidence after pregnancy or breastfeeding

Although the changes are often subtle, they can significantly improve overall breast harmony and self-assurance.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Types of Nipple & Areola Procedures

Nipple Reduction

Enlarged or protruding nipples are common, particularly after breastfeeding, and may cause irritation or visibility under clothing. Nipple reduction surgery can reduce the length, width, or projection of the nipple, improving comfort and aesthetics while maintaining natural appearance and sensation whenever possible.

Nipple Lift

If your nipples sit lower on the breast or point downward, a nipple lift can reposition them to a more youthful, centred location. This procedure is often performed as part of a breast lift or breast reduction but can also be done alone for subtle improvement.

Inverted Nipple Correction

For nipples that retract inward rather than protrude, inverted nipple correction involves releasing the underlying tissue or shortened milk ducts to restore a natural outward position. Your surgeon will carefully assess the cause to determine whether duct preservation is possible.

(Note: In rare cases, new nipple inversion can be linked to underlying breast conditions. Always consult your physician to rule out other causes before surgery.)

Areola Reduction or Symmetry Correction

Areolas can vary in diameter, colour, and shape between breasts. Areola reduction surgery removes a small ring of skin to reduce or reshape the areola, improving proportion and symmetry. The incision is made along the natural border, where scars blend discreetly.

Removal of Extra Nipples (Supernumerary Nipples)

Extra nipples can occur along the chest or abdomen in both men and women. These can be surgically excised through a quick, minimally invasive procedure with minimal downtime.

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What to Expect During Your Consultation

At your private consultation, one of our board-certified surgeons will:

  • Discuss your concerns and aesthetic goals
  • Evaluate your breast and nipple anatomy
  • Review your surgical options and expected results
  • Explain possible risks and considerations (including effects on breastfeeding and sensitivity)
  • Develop a personalized treatment plan to achieve a balanced, natural appearance

Our consultations are designed to be informative, collaborative, and supportive. You will have the opportunity to ask questions, discuss your goals, and gain a clear understanding of the procedure before deciding whether surgery is right for you.

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Procedure and Recovery

Nipple and areola procedures are typically performed under local or general anaesthesia as outpatient surgeries. Most take one to two hours to complete, depending on complexity. After surgery:

  • You may experience mild swelling or tenderness for a few days
  • Stitches are typically removed after one week
  • Most patients return to non-strenuous activities within a few days
  • Full recovery occurs within two to three weeks
  • Scars fade over several months and are usually subtle and well-concealed

Our team provides detailed aftercare instructions and ongoing support to ensure a comfortable recovery and optimal outcome.

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Possible Risks

All surgical procedures carry some risk. For nipple and areola surgery, potential risks include:

  • Temporary or permanent changes in nipple sensitivity
  • Visible scarring (though typically faint and well hidden)
  • Difficulty breastfeeding in the future
  • Infection, bleeding, or delayed healing

These risks are uncommon when performed by an experienced, board-certified plastic surgeon. Our team takes every precaution to ensure a safe, predictable result.

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Frequently Asked Questions

Will nipple or areola surgery affect my ability to breastfeed?

In some cases, breastfeeding ability may be affected depending on the surgical technique and individual anatomy. There is a possibility that milk ducts could be impacted. If you plan to have children in the future, your surgeon can discuss techniques designed to help minimize this risk.

Is there visible scarring?

Incisions are typically placed along the natural border of the areola, where scars blend with the surrounding pigmentation and are often barely noticeable once healed.

Can this surgery be combined with other breast procedures?

Yes. Nipple or areola reduction is commonly combined with procedures such as breast augmentation, breast lift, or breast reduction to achieve a more comprehensive result.

Is this procedure only for women?

No. Men with enlarged, asymmetrical, or protruding nipples can also benefit from nipple or areola surgery.

How long will the results last?

Results are generally permanent. However, factors such as pregnancy, weight changes, and natural aging may influence the appearance of the area over time.

Why Choose The Plastic Surgery Group at City Centre

At PSG, patients benefit from the expertise of seven board-certified plastic surgeons with extensive experience in aesthetic and reconstructive breast procedures. Our collaborative approach allows patients to receive thoughtful guidance, meticulous surgical care, and personalized treatment planning.

Our modern Surrey clinic offers a discreet and welcoming environment where comfort, safety, and natural-looking results are always the priority. We proudly serve patients from Surrey, Langley, Abbotsford, Chilliwack, Coquitlam, Port Moody, Port Coquitlam, Pitt Meadows, and Mission, BC.

Ready to refine your confidence? Schedule a private consultation with PSG in Surrey today to learn more about nipple and areola reduction surgery and discover how subtle refinements can enhance both balance and confidence.

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Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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