Cosmetic nipple augmentation is a general term encompassing a group of minor but trendy procedures intended to increase the shape, size, or color of the Asian nipple or it surrounding pigmented areola.
If the nipple is inverted, it may appear small and deficient in forward projection. While surgery to evert the nipple is relatively simple, there is a risk of interfering with the integrity of the ducts that must remain open for passage of milk during breast feeding.
If perceived as too small, areola diameter may be increased by tattooing permanent pigment into the skin's dermis around the periphery.
Some East Asian women have apparently become dissatisfied with their natural dark areolar color and instead desire a pinker tone said to be a symbol of youth, purity,and innocence.
Use of nipple bleaching creams in such colors as "Virgin Pink" and "Virgin Peach" has come into vogue. For more permanent surgical lightening, the areola may be tattooed with titanium pigment that is whiter than the natural tone.
Those critical of cosmetic nipple alteration blame excessive exposure of the non-Asian areola in the media for generating this rather questionable desire among the younger and more impressionable in the population.