Nipple & Areolar Surgery

Nipple correction surgery addresses the problems associated with enlarged, asymmetrical, protruding or inverted nipples.

If you suffer from any of these problems, you may have both functional and cosmetic concerns.

Nipple correction surgery may be performed as an isolated procedure or in combination with other breast surgeries. In most cases surgery involves minimal scarring.

Areolar issues general involve being too large. This is typically associated with  breast sagginess that requires surgery to perform a breast lift or conditions such as tuberous breasts that requires reconstructive surgery including reducing areolar size.

    1. Inverted Nipples

There are different degrees or grades of nipple inversion possible. The nipples can be inverted intermittently or constantly and can vary from being simply flat to a slit like depression. For women, this can at times mean difficulty with breastfeeding. The surgery required to correct inverted nipples depends on the severity of the problem. Any scars are very small and concealed within the nipple areola region.

Mild Inversion – The nipples are intermittently inverted but can evert in response to temperature or stimulation. With mild inversion the potential to breastfeed is generally not affected following corrective surgery.

Moderate Inversion – The nipples are constantly inverted and if they do evert, return almost immediately. The potential to breastfeed following corrective surgery can be reduced as surgery often affects the milk ducts.

Severe Inversion – The nipples are severely inverted and by no means evert. Breastfeeding is typically not possible following reconstructive surgery as milk ducts are in most cases divided to achieve the correction.

    2. Enlarged Nipples

Women may have nipples that become long, dark or sometimes wide in girth. This can be a result of prolonged breastfeeding or part of the normal development of the breast. With nipple correction surgery, nipples can be reduced in length and/or girth. After undergoing nipple correction surgery you can expect your nipples to project normally, proportionate to the size of your breasts.

Length – To adjust length, a circumferential excision of skin around the nipple is removed. The deeper structures including milk ducts and nerves are left intact. The nipple is then sutured to its shorter, predetermined length.

Girth – To adjust the girth, a wedge incision is made on the underside of the nipple and the nipple is then “taken in”.

    3. Enlarged Areolars

The pigmented area around the nipples is also known as the areola. In some people, the circumference of the areola can be very large. Although there are no functional concerns, people may seek surgical intervention for aesthetic purposes.

The required amount of pigmented area is removed by one of 3 methods – An incision can be made around the outside of the areola; around the base of the nipple; or in severe cases, a lollipop incision is required.

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