Nipple Areola Correction

More beautiful nipples mean ,more beautiful breasts. Many women suffer from nipple abnormalities.

Some of these abnormalities may affect breast function, while all of them impact the way people feel about their body. It is important to realize that nipple problems are usually benign (not harmful) and not related to a medical condition. However, tenderness, swelling, lumps, inflammation, skin changes and discharge can also occur, and these symptoms may need further medical attention to determine whether other tests need to be performed.

The ones with the following characteristics are concerned:

Asymmetric nipples / areola: Caused by breast surgery or the natural aging process that changes the shape of the breast and the location of the nipple; or nipples with uneven lines.

Inverted nipples: A lack of tissue that shows as an indented appearance of the areola.

Enlarged / “puffy” areolas: put a cone-like cap on the breasts that some people find unattractive. The areola size may appear too large or long for the rest of the breast.

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The time in surgery is about one hour. The procedure is performed under local anesthesia with sedation. You will return home the same day.

Treatment Of Inverted Nipples
The surgery consists of a small incision at the base of the nipple while the nipple is in a protected projected state. A gentle spreading of the fibers is performed within the nipple (these fibers are what pulls the nipple inward) with care being taken to preserve the milk ducts. Once the nipple is free and in an outward, normal position, special sutures (stitches) are placed inside the nipple which add stability and strength to the base of the nipple and help retain its outward projection. The sutures are dissolvable and do not need to be removed.

Asymmetry Correction / Areola Reduction
It is done by removing some of the pigmented areola, either by an incision around the outside of the areola or by an incision around the base of the nipple. Very large areolas may require a lollypop-shaped closure. This is where a vertical incision runs down from the nipple as well as around the areola and then is closed in the shape of a lollypop. The goal is to minimize scarring and this is achieved by performing the smallest incision necessary.

Sameer Karkhanis, MD

Board-Certified Mumbai Plastic Surgeon

Chief Plastic Surgeon & the Director at CCRS is a qualified Aesthetic Plastic and Reconstructive Surgeon. He is Board Certified, with the qualification of DNB Plastic Surgery (Diplomate of National Board). He is an active member of the International Society of Aesthetic Plastic Surgery.


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