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Inverted nipple correction

Nipple inversion, inverted nipples, or retracted nipples are present where the nipple does not protrude from the breast as it would normally do, giving it some sort of projection from the areolar skin. There are various forms and grades of nipple inversion, it may be on e nipple only, or both nipples. Sometimes the nipple will protrude in certain situations but is usually inverted, other times it will always be inverted. Whatever your particular nipple inversion situation is, Dr Stasch can provide his expertise to correct inverted or other problems with your nipple.

How does an inverted nipple occur?

Some women are born with inverted nipples. In others, changes in the breast after breast feeding can cause nipple inversion. Sometimes, surgery can lead to inverted nipples, if there were problems with the technique or the wound healing.   In uncommon instances, the nipple inversion or retraction may be caused by an underlying breast cancer – usually this would happen on one side only.

The operation to correct an inverted nipple  is done as an outpatient procedure:

Usually, correcting nipple irregularities can be done under local anaesthetic. Often we correct nipples as part of another surgical procedure, such as tummy tuck, mummy makeover, or other breast surgery.

As soon as the nipple area is numb from the anesthetic, we release the underlying tissues that may pull the nipple inwards. Dr Stasch achieves this by making a small incision underneath the retracted nipple.  This releases the tension from the fibrous bands and ducts in the breast that may be causing the problem. The nipple then can be pulled into the everted state, and be secured with dressings to prevent retraction at a later stage during healing.

Results are almost immediate and our patient satisfaction is very high.

Whats the downtime after a nipple inversion correction procedure?

Since it is a minor procedure, recovery after Nipple inversion correction should not take longer than two or three days. Going back to work and  performing other activities is usually possible immediately. Some discomfort and redness around the bandaged area for a few days are common, but we will perform regular dressing changes in order to watch the healing closely.

The procedure may require transection of milk ducts, which could possibly impede future breastfeeding. This is however only necessary in severe cases of nipple inversion.

Other Nipple correction procedures like changing the size, shape or location of the nipples on the breast would require an additional procedure or procedures.

Correction of low nipples: The nipple lift

Ptosis of the nipples occure with advancing age, after breastfeeding or weight changes, and is often a cause of concern for many women who find their sagging or low nipples unappealing. As skin ages and the nipples appear to hang lower, they start to point downward. Nipple ptosis correction surgery attempts to bring the nipples back to a more aesthetic position. During the same procedure, repositioning of nipples that are set apart can be performed. Nipple lift is part of breast lift and breast reduction surgery, which are procedures that correct sagging breasts and enlarged breasts, respectively. Alternatively, silicone breast implant augemntation of fat grafting can achieve lift of sagging nipples, as long as the degree of ptosis is not too large.

Sometimes, a small breast lift involves an incision of the skin around the areola, affecting a lift of the nipple and areola to make sure the new position gives a pleasant aesthetic appearance of the breasts. This procedure is called a periareolar breastlift. In order to preserve the sensation, blood supply to the nipples, and breastfeeding ability, it is essential to perform this surgery skilfully. Dr Stasch has a lot of experience as a surgeon in this field, also having published scientific papers and given numerous lectures to colleagues on this topic.

Nipple reduction for enlarged nipples

Breastfeeding can result in enlarged, downward-pointing nipples due to repetitive pull created by the suckling baby, but some women may also have this problem of enlarged nipples during breast development. Women may find the large nipples (hypertrophic nipples) aesthetically concerning or find them unpleasant under their clothing. Medically,  nipple hypertrophy may lead to irritation and chafing from perpetual rubbing against clothes, which can cause further discomfort.

Nipple hypertrophy may be corrected surgically by a number of techniques and results in a smaller, less pendulous, more attractive nipple. In cases where only one nipple is enlarged, nipple reduction of the larger nipple can improve symmetry of the nipples. In addition, irregularly shaped nipples can be surgically corrected to appear rounder and more symmetric. Dr Stasch routinely performs Nipple reduction surgery as a standalone surgery under local anesthesia with minimal downtime, or concurrently with other types of cosmetic breast surgery such as breast augmentation, breast lift and breast reduction.

Extra breast tissue (accessory breast tissue) and supernumerary nipples

What usually runs in families, is either well tolerated or not accepted by women suffering from extra nipples or extra breast tissue, for example in the arm pit (axilla), or down the “ milk line” across the woman´s chest and abdomen.

Supernumerary nipples can vary in size, and either produce no milk at all, or show signs of lactation under the influence of hormones. If patients find them unattractive and become a source of awkwardness for patients, especially in cases where the accessory nipples cause discharge, they can be excised surgically.

Irregular areola or asymmetrical areola

Asymmetry of the breasts can be exaggerated by an unequal areola, which may be a difference in size, shape, pigmentation or projection. This can either be post-surgical, after breast feeding, or from birth.

In order to achieve symmetry of the breasts / areolas / nipples, surgical correction of the areola may involve removing some of the skin adjacent to or within the pigmented areola and resuturing it to provide an improved cosmetic result and symmetry.

During breast lift or breast reduction surgery, areolar resizing is always done, for a better positioning and a more aesthetically pleasing level, which is part of the surgical procedure.

Tuberous breasts is a condition in which the breast tissue is constricted, the breast base underdeveloped, the areolas appear significantly enlarged and somewhat protruding through the breast skin. In these patients with tubular breast, specific surgical intervention to produce the best cosmetic result involves reduction of the areola in combination with a breast lift or breast augmentation with implants or fat.

Angela Gathage
Angela Gathage
Dr. Tilman and his team are the best in Kenya! I had a breast reduction surgery and the results are beyond phenomenal! They took their time preparing me and walking me through the whole process from the moment I reached out and through my recovery period. Winnie, Michelle Vangline and Lavender have been very supportive, professional, friendly and compassionate. Dr. Tilman is a true artist! His work is absolute perfection!!! He really did exceed my expectations. I had an easy flawless recovery and the scars have healed beautifully. The results are stunning. If I were to do it all over again, Dr. Tilman would be and remains to be my 1st choice. Honestly, I couldn't be happier. The surgery changed my life. The back and shoulder pain disappeared alongside the constant headaches. Size truly does matter.Thank you for making me look and feel good! You're all are exceptional.
r nduku
r nduku
I did my breast reduction surgery in February after suffering gigantomastia for as far back as I could remember. After my extensive research I went for the very best Dr. Tilman Stasch. My journey was way better than I expected, from the first consultation, to the OP and even the post op care. I was handled by a team that I found very professional and caring. I am 3kgs lighter on my chest and the happiest version of me.
Mutheu Mathaeka
Mutheu Mathaeka
Exceptional services offered by a fantastic team. I highly recommend the clinic, very happy client and will definitely visit again.
Helga Hosseini Balaei
Helga Hosseini Balaei
Hi Dr, Tilman Stasch, für Ihre einfühlsame Betreuung von 2012 bis 2014 in Aachen Luisenhospital sende ich Ihnen alle Sterne. Bin gesund geblieben. Liebe Grüße 👍😍
Brenda Wangeci May
Brenda Wangeci May
Dr. Tilman is very professional and keen on the patient’s needs. The after care is 5 stars ⭐️. His work is perfection. No need to fly abroad for cosmetic surgery for those who are in Kenya/Africa. Very happy customer.
Lorna Achiro
Lorna Achiro
Gosh. What can I say? Except thank you,thank you, thank you.Dr Tillman and the team were awesome. They became my new family and it was sad to leave them after 3 weeks.Everybody was so helpful and attentive and this made healing so much faster.
Sayeeda Kasili
Sayeeda Kasili
I salute Dr. Tilman and his team for the wonderful personality and great work he's doing, to restore confidence and smile on our faces with his magic. I recommend him anytime!!! Happy Valentines all.
Nicole Olwande
Nicole Olwande
Dr. Tilman is excellent at his services. He has perfected his craft with his many years of experience. Hands down the best cosmetic and hand surgeon in town.
Sarah Keter
Sarah Keter
I had my ear keloid removed 3 years ago. I'm Very happy with the healed results. It's like it was never there. Thanks Dr Tilman Stasch.
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