Inverted Nipple Correction San Diego
Inverted Nipple Correction San Diego
What is Correction of an Inverted Nipple
Many men and women have inverted nipples (either one or both) but don’t feel comfortable discussing it with their doctors. Inverted nipple repair is rarely thought of when patients consider breast enhancement. The procedures that are normally thought of are breast enlargements, breast lifting or breast reductions. For some patients, they not only want the breast size taken care of, but also have concerns regarding their nipple and/or areola– the nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple. Patients are happy to hear it’s a simple procedure to enhance the nipple/areola. Whether the nipple is inverted, too big or protruding too far, Dr. Jaibaji can assist you with correction. The nipple is an important part of a woman’s appearance and sexuality. Inverted nipples affect the body image of both men and women. Inverted nipples are congenital most of the time – sometimes the nipples become inverted after childbirth and/or breast feeding.
Types of Inverted Nipples
There are three “grades” of inversion – which basically means three levels of severity. While some nipples may only be inverted some of the time (and “come out” or become everted in response to cold or physical touch), others are more severely inverted and never come out. Some women can breastfeed normally, while others will never be able to breastfeed.
Grade 1. Nipples are inverted but can become everted manually (through stimulation) or in response to cold temperature. They can remain everted for some time. Milk ducts are usually not compromised and breast feeding is possible. These are “shy nipples”.
Grade 2. Nipples are inverted and are more difficult to evert. The eversion almost never lasts – the nipple returns to the inverted state immediately. Breast feeding could be possible, but this is not a sure thing.
Grade 3. Nipples are severely inverted and never evert. Milk ducts are often constricted and breast feeding is impossible. Women with Grade 3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene.
Correction of inverted nipples
Patient’s are happy to hear that inverted nipple procedures are minimally invasive and can be performed in conjunction with other procedures such as breast augmentation, breast lift or breast reduction surgery (for both men and women). This procedure is performed in our outpatient surgery center under either local or general anesthesia.
An incision is made in the areola. The duct that cause the nipple to retract are divided. Then a spacer graft is placed, usually from the dermis or fat is placed. The wound is then closed with dissovalbe sutures.
Does correction of inverted nipple hurt?
Not really. Most patients will complain of little or no pain. Tylonol alone is very effective in controlling any pain.
Recovery after inverted nipple surgery
The patient can go home after surgery. The dressing is changed the next day. The patient is adivsed not to wear a bra for about 4 weeks. Most patient will be able to shower the day after surgey and they can the day after. The pain is usually minimal and tylonol is adequite. The patient is seen again in the office after one week. Resumption of work is usually done after a day ar two depending on the nature of work and wheather the patiet had additional procedures. Nipple sensationmis usually preserved in most patient.
Some patients like to have nipple piercing after correction of inverted nipples and this can be done about 2 months after the procedure.
Correction of inverted nipple may interfere with breast feeding.
In more severe cases of nipple inversion a fat graft is used to prevent recurrence of the nipple inversion. Dr. Jaibaji, Board Certified Plastic Surgeon will discuss with you the best treatment option for inverted nipple.