The surgery is carried out under a local anaesthesia.  The height and width of the nipple or both together should be reduced during the surgery. The amount of skin to be resected is recorded before the surgery. The small special incisions are made in the nipple area and anatomically usual nipple position is formed.  The scar usually is about 1 cm long along the inferior margin of the nipple in the skin fold, thus is usually invisible. Gradually, if physician's recommendations are followed (sun is avoided), the scar is getting smaller and less observable