Nipples in transgender women are usually narrower and shorter than cisgender women. While some trans women wished that their nipples were larger, it is ironic because so many cis women wish that theirs were smaller! While there are reconstructive techniques to make nipples that have been lost from a mastectomy, these are not finessed enough to be used simply to enlarge a nipple. Some patients have had luck making their nipples larger with suction cups. But the best news is that trans women usually – but not always – end up with very erotically sensitive nipples.