Nipple Inversion / Reduction
Since nipples are centered on the breast they are highly visible both in and out of clothing. Even if a woman is happy with the shape of her breasts, she may feel uncomfortable or self-conscious about her breasts if her nipples are not properly proportioned. Nipples may bother patients in several ways: they may be long, droopy, or inverted.
Nipple reduction and nipple inversion procedures can be done either during a breast augmentation or alone. When performed alone, local anesthesia is sufficient.
These small procedures can substantially improve the attractiveness of breasts and thus immensely increase a woman’s confidence in her appearance.
These problems are never exactly the same in any two patients, and so correcting them requires a custom-tailored approach to each patient. Dr. Teitelbaum is very experienced at developing unique and nuanced solutions to meet the needs and goals of each patient.
NIPPLE REDUCTION SURGERY
While an inverted nipple is objectively not normal, there is no standard as to the length of the nipple. Some women prefer them longer and some shorter. Depending upon clothing and lifestyle, occasionally nipples may be a source of embarrassment: too visible through clothing, drooping when undressed, etc.
Fortunately, there is a rather simple procedure that can “telescope” the nipple, thereby reducing projection. This procedure leaves a small scar at the base of the nipple that is barely visible. This procedure rarely affects sensation, and patients who are bothered by the length of their nipples are thrilled with what this procedure can offer them. It can be performed on its own with local anesthesia or combined with a breast augmentation at a single time.
NIPPLE INVERSION CORRECTION
A droopy nipple can be bothersome to patients, whether it is long or not. This is often due to a relatively loose or empty breast. When an areola collapses into an empty breast, the nipple may not have a foundation upon which it can sit. In these cases, a breast augmentation alone can completely rectify the situation without the necessity of doing anything specific to the nipple.
If only one side is inverted, the goal of surgery is to make the inverted nipple match the normal nipple. When both sides are inverted, the objective is to project the nipples symmetrically.
Inverted nipples contain a wide spectrum of severity. For some people, the nipple is flat or slightly inverted but everts at the slightest stimulation. A nipple can be deeply inverted and yet be manually everted with the slightest effort. And in some cases, the nipples are pulled strongly inward by shortened and scarred milk ducts and nerves.
The more fixed the inversion, the more aggressive the inversion operation needs to be in order to correct and maintain a good result. Since sensation and lactation are affected by an aggressive procedure, it is important to match the procedure with the severity of the inversion. Though the worst problems require procedures that may damage milk ducts and nerves, such patients generally have no nipple sensation and are unable to breast feed anyway.
Dr. Teitelbaum has treated many patients with this problem and it is amazing not just how happy they are after surgery, but how much more beautiful their breasts look with this seemingly minor procedure. The goal of this procedure is to project nipples and get them to remain out, neither over-projecting nor having a tendency to pull back in. Dr. Teitelbaum has made improvements to the common methods for treating inverted nipples, which has helped him to achieve more consistent and beautiful outcomes for his patients.