Nipple and Areola Correction 2018-02-21T13:48:46-06:00


Nipple and Areola Correction

The number of women who suffer from aesthetic issues regarding their nipples and areola area is surprisingly high. Overly large nipples, inverted nipples, and other cosmetic nuisances around the nipples can affect a woman’s self-confidence, especially during intimate circumstances.

Many patients are not aware of the fact that nipple and areola aesthetic issues can, in most cases, be corrected through a relatively simple cosmetic procedure.  Nipple correction surgery, when performed as a standalone procedure, is generally performed under a local anesthetic.

Nipple correction can also be performed at the same time as other breast surgery, which may mean a general anesthetic is needed. For nipple reduction surgery the surgeon will remove a section of the areola thus reducing the size. Inverted nipple procedures are also performed under local.

What Causes Inverted Nipples?

An inverted nipple is caused by an imbalance between the inwards traction of the milk ducts and the traction of the muscle within the nipple, which pulls the nipple outwards. It is this muscle, which contracts when you are cold producing a greater prominence of the nipple. If the inward tethering force of the tight, shortened milk ducts is greater than the force exerted by the muscle within the nipple, inverted nipples are the result.

The most common causes of nipple inversion include:

  • Born with condition
  • Breast cancer including breast carcinoma, Paget’s disease and Inflammatory Breast Cancer (IBC)
  • Breast infections or inflammations such as mammary duct ectasia, breast abscess or mastitis
  • Breast Sagging, Drooping or Ptosis
  • Breastfeeding
  • Genetic variant of nipple shape
  • Gynecomastia
  • Holoprosencephaly, recurrent infections, and monocytosis
  • Pregnancy
  • Sudden weight loss
  • Trauma which can be caused by conditions such as fat necrosis, scars or it may be a result of surgery
  • Tuberculosis

Is There a Non-Surgical Solution for Inverted Nipples?

There are several different suction devices, which are worn at night that gently creates traction on your nipples slowly stretching your milk ducts allowing the nipple to sit in a normal position. Not everyone responds to this treatment and opt for a permanent surgical solution.

Nipple Correction Procedure

A nipple correction procedure is usually performed under local anesthetic and lasts approximately 30 minutes. The milk ducts, which are tethering your nipple inwards, are either released or divided. This allows your nipple to come out and lie in its normal position. Soluble internal stitches are used at the base of the nipple to hold it in position while it is healing.

Results are most successful in most cases. The only downside to this procedure is you will be unable to breastfeed. The milk ducts, which carry the milk from the underlying breast glands to the nipple, are divided or lengthened during the procedure which can cause your milk to not flow. This procedure may need to be held off if you are wishing to breastfeed in the future.


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