Slight differences in the size and shape of nipples and/or areolas (the small circular area surrounding the nipple) are very common for most individuals. But in cases where the difference in size is very noticeable, a balance can be achieved to make nipples more even and symmetrical via nipple revision surgery. Breast augmentation (enlargement), breast reduction, or breast lifts (mastoplexy) are sometimes performed in conjunction with a nipple revision.

If patients are unhappy with how large their nipples and/or areolas are overall, these prominent parts of the breast can also be reduced with a nipple revision to make them smaller.