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Breast plastic surgery

PLASTIC NIPPLES (NIPPLE CORRECTION, AREOLA CORRECTION)

by one of the best plastic surgeons in Kyiv - Andrei Kharkov

Nipple surgery is a common procedure, quite simple, so it is performed more often under local anesthesia. It is aimed at correcting external defects, such as: a retracted nipple (occurs when patients have internal muscles that are stronger than external ones, is corrected by restoring muscle balance), a too large nipple due to genetic features, breastfeeding, age-related changes (corrected by cutting off excess skin), insufficient diameter of the nipple (the problem is solved by transplantation), enlarged areoles (part of the colored area around the nipple is cut). Nipple correction is in demand not only among women, but also among men. However, the reasons for applying to a plastic surgeon in such cases are fundamentally different: women tend to correct the appearance, or restore the possibility of breastfeeding, while men more often correct the effects of injuries. Usually such a plastic surgery is part of the mammoplasty complex (correction of the size or shape of the breast), but it can also be an independent procedure.
DURATION:  about 2 hours
RESTORING PERIOD:  about 2 weeks before the sutures are removed

TYPES OF NIPPLE CORRECTION

The choice of correction option in the case of sunken nipples depends on whether the patient is going to breastfeed in the future, since one of the methods implies the violation of the patency of the milky ducts. In addition, it is possible to increase the nipples, maintaining permeability, by removing the retinal connective tissue.
Reduction of the nipples can also be done in several ways: removing only the top of the nipple, removing the entire nipple and returning only the top of the nipple. It is worth noting that such manipulations clearly lead to the impossibility of breastfeeding in the future.
The manifestation of gynecomastia in men is corrected by liposuction and mastopexy, as well as by cutting off the marginal areas of the areolas.
Areola reduction is a type of plastic procedure. Areola can be increased, its position can be changed.

WHAT IS THE PROCEDURE APPLIED FOR? ITS FEATURES

Corrective surgery to change the size or shape of the nipples is carried out in the case of:

  • asymmetry of the nipple location is congenital, or acquired after unsuccessful plastics;
  • stretched areolas, uneven contours of the nipples, excessive diameter of the areola;
  • retracted or, conversely, unnecessarily protruding nipples;
  • defective nipple, leading to difficulty in the process of feeding;
  • breast damage after injury, unsuccessful surgery or restoration after cancer treatment surgically.

In addition to the aesthetic component, the causes of the operation are psychological problems due to dissatisfaction with  own appearance. The most common defect is nipples retraction. There are many reasons for it:

  • congenital deficiency;
  • breastfeeding;
  • wearing unsuitable underwear;
  • breast cancer;
  • abscess;
  • mastitis.

Depending on why this defect was formed, the method of treatment is chosen. The size and shape can be corrected (any operations to restore the required shape of the nipple and areola), or the areola can be formed in another place (more often it is done when the mammary gland is restored completely because it has been removed earlier when treating breast cancer).

PRELIMINARY CONSULTATION

An individual consultation with a plastic surgeon is necessary in order to determine the nature of the existing problem and to choose the most appropriate correction option.
In addition, starting to prepare, the doctor needs to receive complete information about your illness, medical allergies, and chronic diseases. Refusal to increase or do other correction of the nipples can be obtained during pregnancy or breastfeeding, diabetes, oncology, benign breast tumors.

PREPARATION FOR OPERATION

It is necessary to pass the prescribed tests in advance (blood, fluorography), in addition to a plastic surgeon, to consult a general practitioner and an anesthesiologist.
A week before the operation, exclude drugs that violate blood clotting.

POSTOPERATIVE PERIOD

The average postoperative period lasts about 2 weeks, until the swelling disappears and the sutures are removed.
Faster healing is facilitated by wearing a comfortable supporting linen, sleeping on your back, lack of a bath (so as not to wet the stitches), you should refrain from the sauna and bath. Standard – avoid significant physical exertion.

POSSIBLE RISKS

The formation of hematomas around the incision sites, which usually disappear themselves in 7-9 days. The appearance of suppuration in the places of suturing. Within 2-3 months the sensitivity of the nipples changes. But all this is a minor price for a great look!

COST OF PROCEDURE

The price of the procedure depends entirely on the type chosen by the surgeon and on the end result desired by the patient. Already at an individual consultation, an experienced doctor will give a recommendation regarding the choice of the most appropriate technique that will give the most attractive form, tell about the upcoming operation, explain what to do during the rehabilitation period.

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