Inverted Nipple Repair
Inverted nipples can cause functional problems for women and emotional concerns. An inverted nipple can look flat or a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples possible. Usually correction of the inverted nipples involve division of the lactiferous (milk ducts). Risks of the procedure include potential loss of sensation, inability to breast-feed, recurrence of the inversion and the potential need for further surgery. Usually done under local anesthesia, without difficulty.
Areola reduction involves circumferentially removing areola skin around a smaller areola design. This procedure can be done under local or general anesthesia. It is often done as part of a breast augmentation/lift, breast lift or breast reduction procedure. If the areola are "puffy" (for example, as seen with constricted or tuberous breasts) some breast tissue excision may be helpful.
Patients should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented). Some areola asymmetry may also be present after surgery. Their is a small chance that a patient may lose sensation.
Nipple reduction surgery is an excellent procedure for the patient suffering from prominent nipples. This procedure can reduce the height and/or width of the nipple. Nipple reduction surgery can be performed under local anesthesia or in conjunction with other breast procedures under general anesthesia. Exceptional aesthetics can be obtained while both the nipple innervation and its lactiferous ducts are preserved.
The diagram below displays the superior based flap that is commonly used for the male patient suffering from prominent nipples .
The superior based flap for male patient
This 35-year-old male patient from Bonita, California had nipple reduction surgery. He was not happy with his prominent nipples that showed through his clothing. This patient is currently 2 years post op nipple reduction surgery and is very pleased with his results.
This 21-year-old patient from San Diego, California was unhappy with the appearance of his enlarged nipples, which his right nipple was more prominent than his left nipple and was interested in nipple reduction surgery for several years. The pictures display the patient 4-‐weeks post-‐op surgery fully healed and is very happy with his results.
The diagram below displays the "Sleeve Technique" used to reduce the projection of a nipple.
This 46-year-old patient from Torrance, California was interest in reduction of her projecting nipples. She wanted to shorten her nipples. In the picture the patient is 1 week post op nipple reduction surgery and is very pleased with her results.
This 32-year-old patient from Winchester, California came to Dr. Pousti for nipple reduction. She felt uncomfortable with the projection of her nipples and wanted to have them reduced. This patient is 1 month post-‐op nipple reduction surgery with a very natural result.
The diagram below demonstrates the procedure for the patient wantingto reduce the width as well as the length of the nipples.
This 45-year-old patient from San Diego, California came to Dr. Pousti for breast implants. She wanted to fill out her blouses, yet have a very natural look. When meeting with Dr. Pousti they also spoke about reducing the size of her nipples. Dr. Pousti recommended both the breast augmentation and the nipple reduction be done at the same time. She is five years post-‐op correction of hypertrophic nipples and breast augmentation.
This 26-year-old patient was interested in getting breast implants as well as nipple reduction surgery. She was unhappy with the size and shape of her breasts and how large and protruding her nipples were. She flew in from out of town to have Dr. Pousti perform her surgery. She is extremely happy with her results.