Tuesday, December 15, 2009

Ask Dr. Man- Nipple Inversion

Dear Dr. Man, I like the look of my breasts, but I hate the way my nipples don’t stick out at all. My doctor told me I have something called inverted nipples. Can you tell me more about this and whether or not there is surgery available to correct this condition?

An inverted nipple can look flat or have a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples. Inverted nipples can cause functional problems for women, as well as emotional concerns. Another reason some women undergo nipple inversion repair is to improve the efficiency of breastfeeding.

Inverted nipples can be repaired with a minor surgical procedure that improves nipple projection and nipple appearance. The objective is to reshape the nipple and areola so that the nipple projects out from the breast, enhancing the appearance of the breast while preserving sensitivity of the nipple. The technique that leaves the milk ducts intact can also help preserve a woman's ability to breastfeed.

The doctor makes a small incision in the nipple area and then corrects the inversion using stitching or local rearrangement of your tissue. Once the inverted nipple has been corrected, the incision is stitched closed and gauze dressings are placed over your breast. When correction of nipple inversion surgery is performed by a qualified, board-certified plastic surgeon, complications are infrequent and usually minor.

Some patients request other enhancements to their breasts at the same time of their nipple inversion surgery. Depending on the size and condition of your breasts, a breast augmentation, breast lift or breast reduction can be performed to enhance the size and shape of your breasts. Your surgeon can discuss these options with you.

A special surgical bra is placed over your breasts after the surgery to ensure that your breasts are held in the best position for healing. You should sleep on your back for the first week after surgery to help with the healing process. You should wear the special surgical bra placed over your breasts after surgery at all times for the first few days. A softer sports bra should be worn at all times for the first two weeks after surgery. The bra should be worn even while sleeping to help hold your breasts in the correct position. You may take the bra off to shower or bathe, but must put it back on immediately after drying off.

Most patients return to work or school, as well as driving, within a couple of days after surgery. Most patients can resume heavier exercise about three to four weeks after surgery. Scars on your breasts should be protected from the sun for at least a year after surgery.

If you are in general good health and have a clear understanding of the limitations and potential results of your nipple inversion repair, you should be a good candidate for the procedure. Talk to a board certified plastic surgeon to see if this surgery is right for you.

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Dr. Man


Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.

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