Common problems with the nipple-areolar complex
Inverted nipples are often more than an aesthetic concern; They can make breastfeeding more difficult and affect sexual sensation. Enlarged nipples can affect self-confidence or cause physical discomfort, especially when wearing thin bras. Many women feel uncomfortable in intimate moments with nipples that are too large. Such a subtle anatomical change can significantly reduce a woman’s overall satisfaction with her breasts. In addition to breast cancer reconstruction, inverted nipples are a common reason for women to consider nipple-areolar complex surgery. Learn more about the causes and surgical treatment options.
What are inverted nipples?
An inverted nipple is a common congenital breast deformity in which the nipple lies partially or completely below the surface of the areola. This condition can occur in one or both breasts. The cause is connective tissue strands that pull the nipple downward, resulting in shortened milk ducts. They can lead to both aesthetic and functional problems. In severe cases, infections and inflammation can occur. It is important to rule out other causes of inverted nipples, such as breast cancer, by carefully examining the patient’s medical history and symptoms during the consultation.
Can I breastfeed with inverted nipples?
Inverted nipples are divided into grades 1 to 3, with grade 3 being the most pronounced. For a Grade 1 or 2 inverted nipple, devices such as suction cups can sometimes be effective to manually extract the nipple before breastfeeding. However, with grade 2 inverted nipples, suction cups may prove ineffective or the nipple may not remain bulging long enough to breastfeed. Grade 3 inverted nipples usually require surgical intervention. During inverted nipple correction, the milk ducts, which are important for breastfeeding, are usually severed. Breastfeeding is then no longer possible for some patients. Surgical corrections of inverted nipples must therefore be carefully considered.
Inverted nipple correction
The aim of the operation is to correct the inverted nipples by making them permanently bulge outwards. A small incision is made at the base of the nipple to gain access to the connective tissue strands and milk ducts. Using precise surgical techniques, the tension is released so that the nipple can bulge outwards. The incision is closed with absorbable sutures. The procedure usually takes less than an hour and can be performed under local anesthesia with or without sedation. In recurrent cases, a special traction device is constructed that pulls the nipple outward and counteracts the forces of wound healing that attempt to pull the nipple inward.
Recovery and results
Recovery from nipple-areolar complex corrections is usually rapid, and most patients are able to return to work and normal activities the next day. Any discomfort can be relieved with over-the-counter or prescription pain medications, and I advise you to avoid certain strenuous activities until fully healed. You will receive a special wound dressing and detailed post-operative care instructions to ensure a smooth recovery. Results are usually permanent and noticeable immediately, although the relapse rate is around 10% and results vary depending on the stage, treatment goals and individual recovery processes. Follow-up visits will be arranged to monitor healing progress and ensure optimal results.
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