First, it is important to know if you truly want your nipples smaller or if you would like a reduction of the areola (pigmented tissue around the nipple). There are ways to make the actual nipple smaller including wedge excision and base reduction. More commonly, women complain of large areolas. Some women have large areolas at baseline. The areolas can get larger during life events like pregnancy/breastfeeding, puberty/breast growth, and weight gain. It is unlikely that the size of the areolas will reduce a significant amount after they have stretched. That being said, the areola size can be reduced with a periareolar incision. This is an incision hidden in the junction between the pigmented skin and the normal skin. The nipples can also be lifted several centimeters using this periareolar incision if needed.