Which are the causes of the umbilicated/hidden/inverted nipple?

If you were born with an inverted nipple you don’t have to worry, there are problems that aesthetic surgery can solve. Likewise, the nipple can become inverted when the lactiferous ducts end up being too short to allow the nipple to remain protuberant.

This situation can appear as a result of pregnancy, because the mammary tissue decreases as quantity.

In case you discover an inverted nipple you have to make a specialty consultation as soon as possible, because this can indicate an important pathology.

How is the umbilicated/hidden/inverted nipple correction being made?

This type of intervention is being made in case you have congenital umbilicated nipples or if they became so as a result of breast feeding. The intervention is being made under local anesthesia, it takes up until 1-2hours and it doesn’t call for a hospitalization.

During the consultation, the doctor will determine the degree of nipple umbilication. Some nipples can be umbilicated on certain periods of time, but others have a severe degree of ombilication and they never get out. The procedure can involve a small incision on the tip of the nipple, followed by stretching the fibrous tissue from inside the nipple. E special attention is granted to protecting the lactiferous ducts. Once the nipple is freed and is in a normal, prominent position, special suture wires are being placed inside the the nipple. A third suture is made around the base of the nipple, for more stability and strength, and so the nipple can keep its prominent position. All suture wires are dissolved in 10 to 14 days and the incision is not visible. Patients can return to their normal activities after 1-2 days.

What are the side effects and risks of the umbilicated/hidden/inverted nipple operation?

Although, extremely rare, there is the possibility for an infection or an allergy to anesthesia or minimal discomfort to appear. On the other hand, there is the risk that you might not be able to breast feed anymore, so you have to discuss it in advance with your plastic surgeon.

What does the nipple reduction operation involve?

The reduction of the nipple that is too extended and unaesthetic, is made when the nipples are to extended since birth or that ended up too long as a result of breastfeeding. The size reduction of the nipple can also be associated with breast augmentation, breast reduction or mastopexy. The operation takes up from 1 to 2 hours, it’s being made with general anesthesia and it doesn’t need a hospitalization.

During the consultation, the doctor will ask about how small the nipple should end up after the operation and what portion of it should be shrink. Depending on the size of the nipple, thus can be a length or width reduction or both.

Length reduction
To reduce the length of the nipple, the tip of the nipple will be removed and a closing suture will be made. In some cases, the skin from the neck of the nipple is sutured with the base of the nipple, to reduce its length.

Width reduction
If the nipple is too wide, a small portion will be removed from beneath its surface. This gives the nipple a thinner aspect.

Length and width reduction
For some women, their nipples can be too wide and too elongated. In this case, both interventions are being made.

How long is the healing period?

Results are usually visible and the healing is fast. Right after the intervention rest and light activities are recommended. Avoid weight lifting, sleeping on the abdomen, tight clothing or intense physical practice. The pain is neglectable. The doctor will recommend pain killers for maximum 1-2 days. All suture wires will dissolve in 10 till 14 days and the initial incision won’t be visible because of the scarring. Patients can return to their normal activities in 1-2days.

What is the duration of the nipple reduction intervention?

The intervention takes up from 30minutes until one hour, depending on the chosen technique and the correction degree. The esthetician will communicate you this, exactly, during consultation.

Which are the contraindications?

The intervention in not indicated to persons with scarring problems and other breast pathologies.

These types of interventions need hospitalization?

No. For reconstructive operations regarding the nipples, most of the times, a local anesthesia is being made, so no hospitalization is needed.

How is the correction of the increased nipples being made?

The intervention of the increased nipples is made by removing a part of the areola, by making an incision along the inferior part of the areola or through an incision made around the base of the nipple. Very enlarged areolas might need a periareolar incision, afterwards being closed in a circular shape. Operatia se efectueaza de obicei sub anestezie locala, dureaza 1-2 ore si nu necesita internare. În cadrul consultatiei, medicul va va intreba despre gradul de reducere a areolei si aspectul pe care doriti sa în obtineti prin operatie si va determina ce procedura este potrivita pentru dumneavoastra.
Toate firele de sutura se dizolva în 10 pana la 14 zile iar incizia initiala nu va fi vizibila. Pacientele se pot reîntoarce la activitatile lor normale dupa 1-2 zile.

Can complications occur after the nipple correction intervention?

Although very rare, these might happen:

  • Seromas
  • Localized infections
  • Small hematomas

What is the price of this operation?

The price varies depending on the severity of the case and the used technique. The doctor will communicate a price during the consultation, after the physical examination.