The two common nipple issues that Dr. vanVliet treats are that of nipple over-projection or its opposite, the inverted nipple.
The two common nipple issues that Dr. vanVliet treats are that of nipple over-projection or its opposite, the inverted nipple. The normal nipple lies fairly flat and supple and only becomes firm and erect when stimulated. The protruding nipple is prominent and firm and is difficult to camoufloge even with bras and clothing. In contrast, the inverted nipple is unable to become erect or firm with stimulation. This is due to tight breast ducts that reign in and pull the nipple inwards. Nipple inversion commonly develops in puberty and after nursing. If nipple inversion develops later on in life it it important to investigate this to ensure there is no underlying breast disease.
Either condition can be physically uncomfortable and a source of emotional distress, especially if the issue is
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Correction of nipple inversion or protusion significantly reduces your potential to breast feed, so this is an important consideration. It is important to be realistic regarding the extent of projection you will get in the long-term for correction of the inverted nipple.
The Ideal Surgical Candidate is
correction is the sole procedure, plans can be made to do this simply and safely under local anesthetic. If nipple correction is to be combined with another breast or body contouring procedure, it can be done at the same time under a general anesthetic.
This is a short operative procedure that is well tolerated and is commonly done under local anesthetic. Usually, we will apply some topical anesthetic to the area to be treated for 30-60 minutes prior to your surgery. The procedure takes approximately one hour and you will have a light dressing on with an overlying protective compression bra. You will be fine to drive yourself home, but no exertion is recommended for a few days.
A small incision is made at the base of the nipple. In the case of nipple inversion, the constricting bands/ducts are selectively released and the incision is closed with an absorbable stitch. For nipple protrusion, most incisions are limited to the base of the nipple. Additional incisions around the areola may be required if the protrusion is combined with areolar droopiness. Most of these procedures can be safely and comfortably done under local anesthetic unless they are combined with another breast or body contouring procedure under a general anesthetic.
The initial dressing and protective compression bra stay in place, dry and clean, for two days. After that, you can shower and gently wash your breasts with normal soap and water. Application of an antibiotic ointment and a protective gauze dressing should be done for about one week. The absorbable stitches will absorb over this time. You will be functional almost immediately but you should limit exertion, sports and sexual touch for the first month so as not to disturb wound healing.
risk of bleeding, infection or pain. The scars tend to heal very well and are usually very limited. There may be some loss of sensation to the nipple depending on the extent of correction required, but usually this is quite minimal. There is a significant reduction in breast feeding potential as a result of these surgical interventions. With nipple inversion corrective procedures, you may not get full projection and there is a potential for recurrence of the inversion over time.
Dr. vanVliet will be able to advise you on the cost of your procedure based on your initial consultation with her. The cost will be reflective of the work to be done. Fees are due three weeks prior to the surgical date and can be paid by certified cheque/ money order or credit/debit card.
To find out if a Nipple Contour Correction procedure would be beneficial for you, and/or If you would like to learn more, please refer to our fees & financing section or contact us by phone or email to schedule your consultation with Dr. vanVliet.