Inverted Nipple Correction Surgery
Inverted nipples, or nipple inversion, occurs in about two out of every 100 women.
Inverted nipples are usually evident as a slit or hole in the breast at the location of the nipple and may be present on one or both sides.
Surgery or correction for inverted nipples can be done on an out-patient basis. A patient can opt for local anesthesia, intravenous sedation and local anesthesia, or general anesthesia.
There are two techniques of surgery to correct inverted nipples - one is leaving the milk ducts intact and another when the milk ducts are divided.
The difference is that the technique which leaves the milk ducts intact, preserves a woman's ability to breastfeed. In another this is not possible after surgery.
In both cases, the nipple and areola are reshaped so that the nipples are projected out from the breast, enhancing the appearance and beauty of the breast also preserving natural sensitivity of the nipple.
Preserving Milk Ducts
This surgery is done under local anaesthesia. An incision is made just around the base of the nipple on the areola.
Then a gentle spreading of the fibers is performed within the nipple (these fibers are what pulls the nipple inward).
This spreading is done parallel to the milk ducts to preserve them.
Special sutures are used to close the opening.
Because of the circular shape of the scar around the nipple, scar contracture will actually increase rather than decrease nipple projection.
Milk Ducts Divided
This procedure is more common and may be necessary in more difficult cases. It is done by local anaesthetic.
An incision is made at the nipple base, and the shortened milk ducts are detached, allowing a natural-looking projection of the nipple.
The incision is closed by suture.
Recovery is very rapid with a return to work and most activities within hours. Showers are permitted the next day. The sutures will be removed in 4 to 7 days.
There is minimal pain or swelling. Sensation is normal immediately or returns fully within several days.