Correction of Inverted Nipples

Inverted nipples can cause both cosmetic and functional problems. During breast feeding infants are usually unable to suckle effectively due to lack of nipple projection. The condition is due to the presence of tight or short ligaments within the nipple, which pull the end of the nipple deep down into the breast tissue. Inverted nipples look flat, small and sunken without the ability to pop out and stay firm. In mild cases the inverted nipple corrects itself temporarily when it is stimulated by touch or cold. In severe cases nipple stimulation does not correct the problem.

The correction of inverted nipples requires a surgical procedure, which disconnects the ligaments, allowing the nipple to rise to its natural projection. Surgery is performed through a minimal incision, leaving a minimal, if any, scar. Local anesthetic is all that is required. The operation is not overly painful post operative discomfort is easily controlled with prescribe pain medication.

Nipple Size Reduction

A large and elongated nipple takes away the youthful appearance of the breast and is aesthetically unattractive; furthermore it can be visible through clothing. Nipple size reduction can be corrected surgically under local anesthesia with minimal down time. To reduce the nipple size, I prefer the Brazilian technique, which can both reduce the length and the diameter of the nipple. In this technique a ring of tissue is removed from the base of the nipple allowing the nipple to collapse on itself thus effectively shortening its height. Removal of vertical strips of tissue allows for reduction of the diameter.

Areola Size Reduction

Larger than usual areolas are usually due to stretching as a result of breast enlargement during pregnancy. Occasionally, the areola can be congenitally large, causing concerns during puberty. Size of the areola can be reduced surgically. The amount to be excised is accurately measured and marked on the skin. Then using local anesthesia, the marked area of the skin is excised. Stitching is performed with absorbable sutures which are placed under the skin's surface eliminating the need for suture removal. Downtime is 1-2 days. Post operative discomfort is easily controlled with prescribed pain medication.

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