In addition to the most common breast malformation, tubular breast deformity, there are various malformations of the nipple. This consists of the areola and the actual nipple (nipple).
Some women have temporary or permanent inward-pointing nipples, also known as inverted nipples. This can be caused by too short mammary gland ducts or scarring. Inverted nipples can be treated with a minor procedure.
Correction of the nipple can also include a reduction or enlargement of the areola. This is often performed in combination with a breast lift, breast reduction or breast augmentation.
To complete the reconstruction of the breast, the nipple can also be reconstructed. This procedure contributes significantly to the feminine breast.
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Nipples can also be very small. One way of enlarging a small nipple is to implant your own tissue.
An alternative method to surgical enlargement of the nipple is injection with hyaluronic acid. This injection is not permanent and must be repeated annually.
Large areolas of the nipple can also lead to inflammation or irritation. Reduction is achieved by a periareolar lift with an incision around the nipple. This involves removing excess skin around the areolas. Benelli’s gentle method leaves hardly any visible scars.
After breast cancer surgery, the reconstruction of the nipple is very important. In the first phase, the breast is reconstructed. Three to six months later, the nipple is reconstructed. Different techniques are used for the reconstruction of the areola.
A proven method is skin grafting. The new nipple is formed from the patient’s own tissue. An additional effect can be achieved by tattooing the areola.
A normal nipple protrudes slightly in the relaxed resting stage and can protrude more or less depending on the temperature and state of arousal. A flat nipple has a short shaft and can cause problems when breastfeeding as it only protrudes slightly.
In a inverted nipple, the nipple is temporarily or permanently retracted. The false inverted nipple (grade 1) is retracted when at rest, but turns outwards by itself when touched or cold. Breastfeeding is usually possible.
The true inverted nipple (grade 2) is the most common form. It can be pushed outwards but immediately retracts again. With an inverted nipple (grade 3), the actual nipple is missing and is permanently retracted. The inverted nipple retracts even more when stimulated.
Inverted nipples can be caused by shortened milk ducts or past inflammation. They are usually congenital and can occur on one or both sides. Scarring, infections and inflammation can also lead to retracted nipples.
Conservative methods such as piercings, nipple shapers or massages (Hoffmann technique) often only achieve minor improvements. In young women, a method is chosen that does not damage the milk ducts. In this case, future breastfeeding is also not affected. The shortened connective tissue is released without cutting the milk ducts. In patients who no longer wish to breastfeed, the shortened milk ducts can be cut. The result is naturally protruding nipples and an improvement in the overall aesthetic appearance of the breast.
Correction of the nipple should generally only be carried out once breast growth is complete. In some cases, however, it may be advisable to perform the correction during puberty to allow for normal social and physical development. It is important to note that the procedure may affect the ability to breastfeed later on.
A procedure to correct or reconstruct the nipple is short and less stressful. Depending on the method, shaping is performed on an outpatient basis and under local anesthesia. In some cases, the correction is combined with other breast operations and performed under general anesthesia.
The recovery time is usually 1 to 2 days before you can return to work. Sports activities should be avoided for 2 to 3 weeks. Normal symptoms such as swelling, bruising and local pain may occur after the operation. There is a low risk of infection, bleeding or impaired wound healing.
The sensitivity of the nipple or the areola may be reduced and the ability to breastfeed may be impaired or absent. In rare cases, the nipple may reappear.
The costs for a nipple correction are discussed in detail with the patient beforehand. They include anesthesia, examinations before and after the operation and the use of the operating room. Compression garments and overnight accommodation are not included. Contact us for a non-binding consultation.
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