With breast feeding and ageing, the nipple may enlarge or elongate, leading to a pedunculated droopy nipple. The nipple can be reduced or firmed up using wedge excision or reduction technique. The procedure may be done under local anaesthesia as day surgery. The recovery time is about 1 week.

Inverted nipple is usually due to tight bands of tissue pulling down on the tip of the nipple, thus reducing its projection. These deformity may be corrected by releasing the band and applying a retaining stitch around the base of the nipple to maintain the projection. As the mammary ducts may be cut in the process of releasing the tight band, there is a risk of losing the ability to breastfeed. There is also a risk of losing the projection over time.

The procedure can be done under local anaesthesia as day surgery. The recovery time is about 1 week.