Hi,
I don't have any before pictures. I just attempted to attach a current photo but when I tried to send the email it gave me a message that the file was too large. Sorry. My nipples before (again JUST the nipples NOT the areola) could be described as the circumference of the cord of your computer mouse and nearly 3/8ths of an inch long. I put up with it for 46 years then did some research on the internet to find a solution.
The procedure took about one hour, maybe just a bit less and was done with a local anesthetic. It's not a real complicated procedure. To describe it as best I can: the surgeon removes about 3/4s of the "lower" portion of the nipple, then "folds" the upper piece of skin down and sutures it with dissolving sutures. The sutures fall out in about 7 to 10 days and naturally is rather sensitive for a few weeks. Looking at it now, it looks COMPLETELY natural.
Email me a couple of photos if you'd like and I'll be happy to tell you if it's representative of my situation. Hope this helps.