Breast Nipple Correction
The permanent fix for inverted nipples is surgery. This is a procedure that is performed under local freezing (anesthesia) and takes about 30 minutes. The procedure is so straightforward, there is no need for general anesthesia or IV sedation. There may be some swelling and discomfort with the procedure, but there is typically very minimal recovery time required. Any discomfort will be managed with oral pain medication prescribed by Dr. Nikhil Agarkhedkar.
During this procedure, a small incision is made under the nipple to allow the surgeon to cut the mild ducts which are tethering the nipple. This will lead to loss of the ability to breast feed. This is accomplished by making a small incision in the areola while the nipple is held in the extended position.
After the tissues are transected, several lines of dissolving sutures are placed under the skin to hold the nipple in the projected position. Once this is done, protective devices are placed over the nipples to hold them in position, and prevent them from retracting again during healing. There is a 5% risk of sutures breaking leading to a recurrence and the need for a repeat correction. During the procedure, Dr. Nikhil will over-correct the nipple protrusion (they will look excessively large) because we expect some settling. This is normal. Your final result will not be excessively protruding nipples. As your swelling settles over the next 2-4 weeks, your nipples will attain their intended normal shape and size.
Who is a good candidate for inverted nipple correction?
Women who are unhappy with the appearance of flat or inverted nipples may be good candidates for inverted nipple correction. If your nipples become suddenly inverted, you should see a breast specialist before nipple correction surgery to rule out any underlying medical conditions. Dr. Levine will meet with you to discuss your goals and expectations, and help you determine if inverted nipple correction would be right for you.
How can I prepare for inverted nipple correction?
During your initial consultation, Dr. Nikhil will examine your nipples to determine the extent of the inversion. He will also address your medical history to determine whether there could be underlying causes for your condition. Dr. Nikhil will thoroughly discuss your goals and expectations, including possible risks and the best way to prepare for your surgery. He will let you know what to expect before, during, and after your procedure, and he will answer any questions that you may have.
Recovery after Nipple Correction
The procedure, a protective bandage will be placed around the newly-protruding nipple. This protective bandage should be worn for 6 weeks and is meant to protect the nipple form external pressure the could push the nipple back inward. The sutures holding the repair together dissolve within a few weeks, and the scar is usually not noticeable, since the procedure is minimally invasive and only a small incision is made. In addition, the bumpy surface and color variations in the nipple and surrounding areola help to hide the scar.
After surgery, the results are immediately visible. And since the surgery was directed at correcting the underlying causes, the results are usually permanent. When completed, the surgery will result in a more contoured, outward-projecting appearance to the nipples.
After the surgery, you may perform non-strenuous activities such as watching television, making meals, and reading. You should avoid any physical activity that will apply pressure to the nipples (such as lying on your stomach, giving people hugs, or wearing tight fitting shirts) or stretches your breasts such as lifting your arms above your shoulders.