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Breast nipples correction

What is the Breast nipples correction?

Both men and women can suffer enlarged, asymmetrical, protruding or inverted nipples. As many people experience discomfort, they choose to undergo a nipple correction. A nipple correction is a relatively simple procedure and is done under local anesthesia.

Many women with only minimal drooping or sagging of the breasts can have a simple nipple elevation carried out as an outpatient operation. This is a surgical procedure where the nipple is raised about 1.5 to 2 cm above its existing level to enhance its appearance and make the breast look more pert.

Inverted nipples or retraction of the nipples is a relatively common condition. This occurs when the nipple ducts inside the breast are shorter than normal and this causes a pulling inward of the nipple. Retraction of the nipple is caused by a short milk duct system running from the chest wall to the nipple. Although this is a harmless medical condition, it is usually seen as a problem for women who wish to breast-feed. Some women also see it as a visible imperfection which can make them feel self-conscious about their breasts.

What is the procedure?

This nipple correction takes place under local anesthesia and the surgery leaves no visible scars. Sometimes, a part of the milk ducts can be lost.

There are two procedures used in women which may take around 1 or 2 hours to perform:

Inverted nipple correction with partial preservation of milk ducts

An incision will be made just around the base of the nipple on the areola. The nipple and areola tissue is lifted from (but still connected to) the breast and stitched into a new, projecting shape. This makes the nipple stick out more. As the scar is in the shape of a circle, the tighter skin around the nipple will actually cause the nipple to stick out more as the skin will now "pull" a little. Medicated gauze is then applied to the stitched area.

Inverted nipple correction with detached milk ducts

This procedure is much more common and may be necessary in more difficult cases but it does not preserve the milk ducts fully. An incision is made at the nipple base, and the shortened milk ducts are detached. This allows the nipple to stick out naturally. The incision is then cleaned, stitched and medicated gauze is applied to the wound.

What kind of result can you expect?

Since the nipples will not go back to their original place before surgery, one can safely assume that the nipple correction is forever and the patient will not need another surgery for the same reason. The nipple corrections last for a long time.

Recovery period and recommendations

Your nipples will feel sore and will be swollen for several days following this procedure.

Post-surgery advice may include:

- using recommended painkillers as required;

- returning to your doctor after a few days to have any gauze dressings removed. You may also need to wear a surgical bra. It should be worn as directed by the surgeon;

- avoiding physical contact for 2-3 weeks as your breasts will be feeling very sensitive;

- your surgeon will advise when to begin exercising and normal activities;

- contacting your surgeon immediately if you notice any signs of infection or if you experience bleeding or a sudden increase in pain.

Possible side effects and complications

As with all operations, there is always a possibility of side effects or complications. Risks can include infection, a reaction to the anesthetic, nerve damage, scars (although these are usually not very visible) and the need for second or sometimes third procedures and the occurrence of lop-sided breasts or nipples afterwards.

The ability to breastfeed cannot be guaranteed after any surgery to correct inverted nipples. Be sure to ask your surgeon about all the risks associated with the procedure before you make any decision.

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