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Nipple Placement in Breast Reduction Surgery

Dr Hanikeri offers a range of surgical procedures for the breasts, body and face.

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Breast reduction surgery, also known as reduction mammoplasty, is a transformative procedure that can provide relief to individuals who experience physical and emotional discomfort due to overly large breasts. Beyond just reducing breast size, this surgical procedure involves carefully considering nipple placement to achieve a natural and aesthetically pleasing result. In this blog, we explore breast reduction surgery and the nuances of nipple placement, highlighting the importance of balance and harmony in achieving the desired outcome.

Understanding the Motivation

Before exploring the intricacies of breast reduction and nipple placement, it is crucial to understand why someone might choose this procedure. Many individuals with disproportionately large breasts experience a range of physical and emotional challenges, including:

Chronic Pain: Large breasts can lead to neck, shoulder and back pain, making it difficult to maintain good posture and participate in physical activities.

Skin Irritation: The skin beneath and between the breasts can become irritated, leading to rashes, chafing, and discomfort.

Limited Clothing Options: Finding well-fitting clothing can be a constant struggle, and many patients feel self-conscious about their appearance.

Breast Reduction

Breast reduction surgery is a complex procedure that requires a skilled Plastic and Reconstructive surgeon with an eye for balance and proportion. Key aspects of breast reduction include:

A Customised Approach: Every patient is unique and a one-size-fits-all approach does not work for breast reduction. Mr Hanikeri will tailor the procedure to the patient’s needs and desired outcome.

Breast Size and Shape: Achieving the right size and shape is essential. Mr Hanikeri will consider factors like breast symmetry, proportions to the rest of the body, and the patient’s aesthetic goals.

Incision Placement: There are several techniques for breast reduction with different resultant scars. The choice of technique depends on the extent of reduction needed and Mr Hanikeri’s preference.

Nipple Preservation: Preserving the nipple’s blood supply, function and some sensitivity is crucial. A supero-medial pedicle technique is usually employed to reposition the nipple while maintaining its function and circulation.

Nipple Placement

Nipple placement is a critical aspect of breast reduction surgery that contributes to the overall aesthetic outcome. The desired nipple position can vary from patient to patient and is highly dependent on body proportions, tissue density, quality and laxity and the patient’s age. Achieving a natural and balanced appearance is the goal.

Preoperative Assessment: Before the surgery, Mr Hanikeri will conduct a thorough preoperative assessment of the patient’s breasts, including the tissue density, elasticity and laxity. This includes evaluating the breast size, shape, symmetry, and the current position of the nipple-areola complexes (NACs). At this time, he also discusses with the patient their goal and expectations for the procedure. The desired breast size, nipple positioning and overall aesthetics are considered.

Proportion and Symmetry: Mark Hanikeri will assess the patient’s body proportions and strive for symmetry in nipple placement. This involves careful measurements and precise surgical planning.

Measurements: Measurements are taken to determine the ideal nipple placement. These measurements often include:

  • Vertical Position: The distance from the sternal notch (the dip at the base of the neck) to the current nipple position and the desired nipple position is measured.
  • Horizontal Position: The distance between the midline of the chest (sternum) and each nipple is measured to ensure proper alignment.
  • Areola Size and Shape: There is usually a change in areola size and shape.
  • NAC to Inframammary fold distance: Determines the need for a horizontal scar.

Scarring: Mark Hanikeri will try to ensure that any incisions are well-concealed and heal as inconspicuously as possible.

It is important to note that while these guidelines provide a framework for achieving aesthetically pleasing results, there is no one-size-fits-all approach to breast reduction and nipple placement. Mr Hanikeri works with his patients to understand their goals and create a surgical plan that considers individual anatomy and preferences.


Through customisation, precision, and attention to detail, breast reduction surgery may alleviate physical discomfort.