Nipple Injection

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Are Nipple Injections Safe? The Science Behind the Kendall Jenner–Inspired 'Designer Nipple' Look
Forget lip injections. Apparently Jenner-inspired nipples are now a thing.
You’ve probably taken a torn-out magazine page to your hairstylist to ask for the latest celebrity cut or color trend. But would you ever do the same for your nipples? Apparently, women are doing just that at plastic surgeons' offices—and headlight-bearing stars like Kendall Jenner are being cited as their inspiration.
According to a 2018 report from the New York Post, doctors have noticed an increase in requests for protruding nipples in recent years. Norman Rowe, MD, a plastic surgeon in New York City, has even coined the term “designer nipples” to describe what’s become his specialty. (In addition to nipple projection, Dr. Rowe also helps patients who want to change the size or color of their nipples and areolas, as well.)
“They see these celebrities wearing these sheer dresses, and they would like to emulate and mimic that type of clothing,” Dr. Rowe says in the Post's video. “And they want their nipple and the areola to be presentable.” Another NYC plastic surgeon told Hello Giggles that the demand for nipple-projection procedures has risen about 20% in the last few years.
Kendall Jenner, infrequent bra-wearer and champion of the #freethenipple movement, is often cited as an inspiration for these requests. In the video, one woman says of Jenner: “You can see the pointiness, and I think there’s something really sexy and feminine about it.” Nipple-bearing snaps of Gwyneth Paltrow and Jennifer Aniston are also included in the video.
So how exactly does one get such standout nipples—and is it safe? Health spoke with Anne Taylor, MD, an adjunct professor of plastic surgery at Ohio State University, about what these procedures involve.
In most cases, says Dr. Taylor, greater nipple projection can be achieved with an injection of cosmetic fillers, similar to Botox or lip injections. Most doctors use hyaluronic acid fillers, she says, “because they’re soft and squishy and they do the job quite nicely.” Her favorite filler for nipple injections is Juvaderm Voluma, because it produces the longest lasting results: Nipples stay firm and perky for about two years, no cold weather required.
These procedures can be done quickly, in just a few minutes, and they’re generally very safe. “Any time a patient has any injection, there are risks involved,” says Dr. Taylor. “But for this, the risks are very low.”
The most serious risk, she says, is a vascular occlusion, which can happen when a filler is accidentally injected into a blood vessel. “If that happens, the blood supply is blocked and the tissue that’s being supplied by the artery can die,” says Dr. Taylor. “Those are serious complications, but they’re also very rare and very unlikely if the procedure is done by a skilled, experienced plastic surgeon who’s board-certified.”
Less serious complications may include some temporary discomfort or irritation with newly always-erect nipples, says Dr. Taylor. “But usually the skin on the nipples accommodates for these changes and gets thicker, so it’s unlikely to be an ongoing problem,” she adds.
And of course, there’s the chance that a patient won’t be happy with her new pointy nipples, or that the trend of prominent “high beams” will fade as quickly as it began. But in most cases, says Dr. Taylor, nipple injections are reversible: An injection of another enzyme can dissolve the filler and bring breast tissue back to its previous state.
There is, however, a hefty price tag associated with these types of nipple perk-ups: Dr. Rowe charges his patients $700 and up for fillers. More long-term solutions, like fat grafts, can run even higher.
And, in case you were wondering, there’s pretty much no time when a procedure like this is ever a medical necessity. Even women born with inverted nipples don’t need to “fix” them unless they’re bothered by their appearance, says Dr. Taylor.
“For patients who truly have inverted nipples, there actually is a surgical procedure involved—you can’t make them come out with fillers, because the milk ducts are tethered and they need to be cut,” she says. “For cosmetic reasons, patients can choose to do this, but we always council them to wait until they’re done having children and breastfeeding.”
Dr. Taylor also points out that the protruding-nipple trend may be limited to big cities like New York and Los Angeles, at least so far.
“Here in Ohio I’m not really seeing it—and it’s so interesting because my generation has spent our whole lives trying not to have our headlights on,” she says. “I’ve definitely treated women whose nipple projection was less than they desired, or who want a little more projection after breast reconstruction. But most of them are still going to wear a bra that smooths it out when they’re out in public.”
The most important thing, she says, is that anyone thinking about this procedure should see a board-certified plastic surgeon. “We see a lot of patients going to providers who aren’t experienced, maybe aren’t even physicians,” she says, “and even though we’re only talking about injections, the complications are real.”
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Are Nipple Injections Safe? The Science Behind the Kendall Jenner–Inspired 'Designer Nipple' Look
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There are all sorts of things you can do to alter the look of your nipples. From reducing the size of the areola to tattooing it so that it looks like a heart, what’s “desirable” for the nipple changes all the time.
Thanks to celebs like Kendall Jenner, a new beauty trend has recently emerged: prominent, permanently perky nipples that can be seen beneath a shirt.
And naturally, plastic surgeons have stepped in to meet this demand.
“Most women have nipples that become erect from the cold or from stimulation, but for women who want them to be erect all of the time, there are some temporary solutions,” says Miami plastic surgeon Dr. Jacob Freiman.
Here’s what you need to know about nipple injections, one of most controversial cosmetic procedures to emerge in recent years.
When women get nipple injections, they’re usually the hyaluronic acid fillers Juvéderm or Restylane, which can last for about a year. These products are the same ones used to add volume to the lips and other areas of the face.
In theory, it’s a good idea, but most doctors agree that for this application fillers are actually hit or miss.
“Some people use hyaluronic acid fillers like Juvéderm to try to add volume to their nipples, but it’s not very effective,” says Manhattan plastic surgeon and breast reconstruction specialist Dr. Constance M. Chen.
There are also some more permanent options, namely the injection of fat or altering the placement of dermis to make the nipples appear perkier or more erect.
“I usually suggest the temporary treatments, as the ‘headlight’ look may be a temporary fad and fat injections are very difficult to reverse,” says Freidman.
The process isn’t very different from getting a cosmetic filler in your lips or nasolabial folds.
A board-certified plastic surgeon or licensed technician injects the solution directly into the nipples using a syringe. A local anesthesia may be administered to help make the procedure more comfortable.
Because fat and hyaluronic acid fillers create a very natural yet firm feel, they can make nipples perpetually perky, at least for a few months, while at the same time keeping them looking quite natural.
The more permanent fat transfer is a lot like a Brazilian butt lift, otherwise known as “fat transfer to buttocks”; fat is taken from another part of the body and then injected into the nipples to create a fuller look. The same process is used when “correcting” inverted nipples, and is occasionally employed during breast reconstruction for breast cancer patients or for those who have had elective mastectomies.
Temporary fillers can run you around $700 for perky nipples that may last between six months and a year, while fat grafting can creep into the thousands.
If you’re in the habit of keeping up with the Jenners, so to speak, you might wind up paying over $1,000 per year to maintain the perk.
As with any cosmetic alteration, there are pros and cons.
By and large, cosmetic injections are considered safe — Botox and hyaluronic acid fillers are, respectively, the number one and number two most-popular nonsurgical cosmetic procedures in the United States — but there are some extra considerations that should be taken into account when fillers are used in this part of the body.
According to Temecula, CA plastic surgeon Dr. Brian Eichenberg, the procedure can occasionally trigger an infection. “In general, (nipple injections) are safe, but because there are bacteria around the milk ducts in any woman, there is a higher risk of infection that with injecting in other areas,” he says.
In severe cases, these infections can cause pain and even permanent scarring.
Directly injecting anything into the nipple can affect a woman’s ability to breastfeed.
“If a woman is planning on breastfeeding at a later date, this is probably not a good idea as it can occlude the milk ducts and, in rare cases, cause some scar tissue there,” says Eichenberg.
For this reason, most doctors will advise women who plan to get pregnant that they should avoid the procedure.
Chen agrees that the procedure is not the best for women who might breastfeed in the future, but in her opinion the “main problem” is that the injections simply aren’t that effective.
She says some can last for between six to nine months at best; for some women, fillers don’t do anything at all.
Women who have any kind of nipple procedure — whether it be breast reduction, breast implants following mastectomy, or the occasional nipple injection — risk damaging the nerves and structures responsible for producing nipple sensitivity.
If there is damage to these components, women may experience permanently decreased feeling in their nipples.
As previously mentioned, injecting fat into the nipples is forever. Cosmetic trends change constantly, so you could be left with a result that’s irreversible, long after perky nipples are no longer in style.
There’s a long list of surgical procedures to help you create customized nipples, and there’s no indication that the list will stop getting longer.
As far as nipple procedures go, nipple injections don’t have to be more of a commitment than, say, nipple piercings or the occasional Botox injection. Still, the risks associated with the procedure are hard to ignore.
The first thing you should always do when considering your options is to talk to a board-certified plastic surgeon who can help you make the right decision based on your specific situation.
» Want to know more? Use Zwivel’s online directory to locate breast surgery specialists in your area.
Zwivel is transforming the way cosmetic patients search for and connect with cosmetic doctors.
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