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La Transformatione' » Breast Surgeries » Nipple Reduction-Nipple Reconstruction


Surgery to improve the appearance of large, long, or droopy nipples and overly large or puffy areolas can enhance the size and shape of your breasts. Are You a Good Candidate for Nipple or Areola Reduction? If you're insecure about the size of your nipples, the dark area surrounding them, or both. If you are in general good health and have a clear understanding of the limitations and potential results of your nipple or areola reduction, you are an ideal candidate for the procedure.

breast procedure
Nipple Reduction-Nipple Reconstruction

How the Procedure Is Performed
Your nipple or areola revision procedure is performed in our state of the art surgical suite or at one of the area hospitals where doctor operates. The surgery is performed under local anesthesia and generally takes about an hour to complete. You go home shortly after your surgery. For nipple reduction, the doctor makes a small incision on the nipple itself. For areola reduction, the doctor makes an incision around the perimeter of the areola. In both cases, the incisions heal very quickly. Once the incision is complete, the doctor removes excess tissue from the area of the incision. Stitches are then used to close the incision, and gauze dressings are placed over the breasts. 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.

Resuming Your Normal Routine
You are the best judge of when you are ready for certain activities, but the following are general guidelines:
You can most likely return to work within a day of your surgery.
You can resume driving within a day or 2 of your surgery.
You should avoid sex for at least the first week after your surgery.
Do not go without a bra for at least 6 weeks after your surgery.
Strenuous exercise can begin about 2 to 3 weeks after your surgery, but remember that everyone heals at different rates so take these activities slowly until you feel ready. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise. The scars on your breasts should be protected from sunlight for at least a year after surgery.
Some possible side effects include:
Infection
Loss of nipple sensation
Scarring


Nipple Reconstruction

You can decide if you want to have your nipple and the dark area around the nipple (areola) reconstructed. Nipple areola reconstructions are optional and usually are the final phase of breast reconstruction. This is a separate surgery that’s done to make the reconstructed breast look more like the original breast. It can be done as an outpatient after drugs are used to make the area numb (under local anesthesia). It’s usually done after the new breast has had time to heal (about 3 to 4 months after surgery).

Nipple-sparing procedures
In a procedure called nipple-sparing mastectomy or areola-sparing mastectomy, the nipple and/or areola are left in place while the breast tissue under them is removed. Women who have a small early stage cancer near the outer part of the breast, with no signs of cancer in the skin or near the nipple, may be able to have nipple-sparing surgery. (Cancers that are larger or nearby are more likely to have cancer cells hidden in the nipple, which means a higher risk the cancer will come back.) Some doctors give the nipple tissue a dose of radiation during or after the surgery to try and reduce the risk of the cancer coming back. In areola-sparing mastectomy, the nipple itself, including its ducts, may be removed while the circle of tissue around it is kept. There are still some problems with nipple-sparing operations. Afterward, the nipple does not have a good blood supply, so sometimes it can wither away or become deformed. Because the nerves are also cut, there’s little or no feeling left in the nipple. In some cases, the nipple may look out of place later, mostly in women with larger breasts.

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