Surgery for inverted nipples is suitable for all women whose nipples are retracted and do not protrude normally above the areola, i.e., they are pulled into the breast tissue due to shortened tissue, or they may be aligned or flat in shape.
Surgery for inverted nipples is becoming increasingly prominent in the field of plastic surgery among women. Nipples are not only an important connection between the child and mother during breastfeeding, but they are also an important part of femininity and self-confidence for women. Breasts in a woman’s life have both practical and aesthetic roles.
Surgery for inverted nipples is one of the quick medical procedures, during which one nipple can be corrected in the case of a unilateral anomaly, or both nipples can be corrected at the same time, under general or local anesthesia, or, by agreement, in analgosedation.
Surgery for inverted nipples is suitable for all women whose nipples are retracted and do not normally protrude above the areola, i.e., they are pulled into the breast tissue due to shortened tissue, or they may be flat or level. Often, this is a congenital defect; however, the causes that may contribute to the development of inverted nipples can also include breastfeeding, breast sagging during aging, breast cancer, etc. It is always necessary to rule out inflammatory or oncological diseases. Surgery for inverted nipples is also recommended for women who plan to become pregnant in the future and have been struggling with the problem of inverted nipples since birth – to eliminate later difficulties with breastfeeding, where the child may not be able to properly extract breast milk during nursing.
It is good to know that younger girls, during puberty, may suffer from inverted nipples, but quite often, the problem resolves after breast development stabilizes.
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Surgery for inverted nipples has not only aesthetic benefits but also preventive characteristics, helping to reduce inflammation and infections that can be caused by inverted nipples due to limited access for proper cleaning. The procedure for inverted nipples can be combined with other aesthetic or surgical procedures.
Surgery for inverted nipples can be performed either with interruption of the milk ducts (which poses a risk to later breastfeeding – if you plan to become pregnant and breastfeed) and is considered a less demanding procedure with a greater effect, or without interruption of the milk ducts, which is a more complex surgery but allows for several types of possible correction. If the surgery for inverted nipples is performed under general anesthesia, a 1-day hospitalization is required. It is always necessary to determine what type of nipple retraction is involved for the correct selection of correction.
During the procedure (with interruption of the milk ducts) under local anesthesia, the shortened fibrous structures that cause the nipple to retract inward are surgically released, then the nipples are pulled out and fixed with special surgical pins (or a silicone drain) for about 14 days. After their removal, no scars are formed. Surgery for inverted nipples thus proceeds quickly, and after about 20–30 minutes, the patient leaves without complications for home care. She can return to work the very next day.
Another option for surgery for inverted nipples (while preserving the functionality of the milk ducts) is to cut and shape the retracted internal tissues and ligaments into the form of the nipple; another option allows for incisions around the nipple and areola, and then the released tissue is sewn into the desired shape.
Specialist
Surgery for inverted nipples is considered a safe procedure with good results. We recommend discontinuing blood-thinning medications at least 14 days before the procedure, and smoking is not advisable 2 days prior to treatment. The patient must be healthy, and neither inflammation nor infections during the treatment or several days before the actual procedure are suitable.
The surgery for inverted nipples is well tolerated; we recommend avoiding physical exertion, including sports, for about 2 weeks after the procedure. It is also not advisable to bathe in a bathtub or pool until healing is complete. In case of painful conditions, standard pain relief medications are recommended.
After the procedure, it is necessary to attend dressings, or the patient should change the sterile gauze daily and disinfect the area. Unpleasant sensations such as numbness of the nipples, swelling, and bruising usually subside after about one to two weeks. If stitches were used during the procedure, they are typically removed after about 14 days.
Breasts have always been associated with femininity; many anomalies are caused by congenital predispositions, illness, or significant weight loss. However, for every woman, they are the foundation of self-confidence and health. Occasionally, medical assistance is needed to ensure everything functions as it should – surgery for inverted nipples is an integral part of that.
