Correction of the nipple for a natural shape and size

Correct aesthetic details on the nipple

In addition to the most common breast mal formation - tubular breast deformity - there are various malformations of the nipple. The nipple consists of the areola and the nipple itself (nipple).

Individual women have nipples that temporarily or permanently point inwards. Both nipples can also be affected. The causes of inverted nipples are usually too short mammary gland ducts or scarring. Inverted nipples can be treated with a small operation.

Reduction and enlargement of the nipple or areola is also possible. Correction of the nipple is often used in combination with a breast lift, breast reduction or breast enlargement.

To complete the reconstruction of the breast, the nipple is also restored. The procedure completes the reconstruction of the breast and contributes decisively to the feminine breast.

Aesthetic breast

Do you have questions about nipple correction?
Arrange a consultation appointment.

PD. Dr. med. Mathias Tremp (specialist in plastic and aesthetic surgery) will give you full information about the procedure.

He will also explain possible problems and the feasibility of the desired correction of the nipple.

Make an appointment with PD Dr. med. Tremp

+41 41 784 02 66

Malformations and asymmetries of the nipple

Normal nipples are the rule. Congenital malformations can cause great distress to affected patients. The nipple malformations that develop in the course of life can give the impression of an unattractive breast.

Athelie and Polythelie

Athelias and polythelias affect missing or supernumerary nipples. They can occur in both sexes.

In the rare case of athelias, the nipple is completely missing. The causes for this congenital maldevelopment are still unclear. It is assumed that hormonal influences play a role.

In polythely, too many nipples are created. The excess nipple can be removed without any problems. The remaining scar will fade with time.

Reduction of large nipple

Especially large nipples can be uncomfortable for affected women. The friction against clothing can cause painful inflammation.

The size and shape can be corrected in an outpatient procedure. Excess tissue is removed in the process. The delicate scar of the reduced nipple is barely visible.

Enlargement of small nipple

Nipples can also be very small. Implantation of autologous tissue can enlarge a small nipple.

Injecting the nipple with hyaluron is an alternative to surgery. The injection is not permanent and must be repeated annually.

Reduction of the nipple areola

Large areolas of the nipple can also lead to inflammation or unpleasant irritation. Reduction is achieved by periareolar tightening with an incision around the nipple.

Excess skin is removed from around the atria. The Benelli method is very gentle. The scars that remain are hardly visible.

Reconstruction of the nipple and areola

After breast cancer surgery, the reconstruction of the nipple is very important. In the first phase, the breast is reconstructed. Three to six months later, the nipple is reconstructed. Different techniques are used for the reconstruction of the areola.

A proven method is skin grafting. The new nipple is formed from the patient's own tissue. An additional effect can be achieved by tattooing the areola.

Reconstructive breast surgery

Hatch warts (inverted nipples)

In the normal nipple, the nipples protrude slightly even in the relaxed resting stage. Depending on the temperature and the state of arousal, the nipple protrudes more or less.

A flat nipple has a very short shaft. Because the flat nipple only protrudes a little even when stimulated, problems can occur during breastfeeding.

In inverted nipple, the nipple of the otherwise healthy breast is temporarily or even permanently retracted.

The false nipple (grade 1) is retracted when at rest. When touched or when it is very cold, this nipple will automatically turn outwards. False nipples are not a major obstacle to breastfeeding.

The true nipple (grade 2) is the most common type of nipple. The retracted nipple can be pushed outwards, but immediately retracts again as soon as the pressure is released.

In an inverted nipple (3rd degree), the actual nipple is missing. The nipple is fused with the tissue and permanently retracted. The inverted nipple retracts even more when stimulated.

Cause of the nipples

The reason for herniated warts are excessively shortened milk ducts or inflammations in the past. Hatch nipples are usually congenital and can occur on one or both sides. Scarring, infections and inflammations can also lead to retracted nipples.

Correction of inverted nipples

Conservative methods such as piercings, nipple shapers or massages (Hoffmann technique) often achieve only minor improvements.

For young women, a method is chosen where the milk ducts are not damaged. Here, future breastfeeding is not affected either. The shortened connective tissue is released without cutting the milk ducts.

In patients who no longer wish to breastfeed, the shortened milk ducts can be cut. The result is naturally protruding nipples and an improvement in the overall aesthetic appearance of the breast.

Aesthetic problems of inverted nipples

Except when breastfeeding, retracted nipples rarely cause problems. However, in affected women, inverted nipples can cause inflammation and pain. For many women, in most cases, inverted nipples are an aesthetic problem.

When is the optimal time to correct the nipple?

In principle, correction should not be carried out before the completion of breast growth. In individual cases, it may make sense to carry out the correction already when the deformity appears during puberty.

This can enable the treated girl to have a normal social and physical development. It should be noted that the procedure may affect the ability to breastfeed later on.

Surgery, ability to work, risks and aftercare

An operation to correct or reconstruct the nipple is short and causes little stress. Depending on the method, the reconstructed nipple is shaped on an outpatient basis under local anaesthetic.

Occasionally, nipple correction is performed in combination with a breast lift, breast reduction or breast augmentation under general anaesthesia.

Patients can return to work 1 to 2 days after the operation. Sporting activities should be paused for 2 to 3 weeks after the operation.

Normal phenomena after nipple correction may include swelling, bruising and local pain. As with any operation, infections, bleeding or disturbances in wound healing may occur.

In addition, the sensitivity of the nipple or the atrium may be reduced. The ability to breastfeed may also be impaired or absent.

A recurrence of the nipple cannot be ruled out in rare cases.

Costs for nipple corrections

The costs for nipple correction are discussed in detail with the patient beforehand. The costs are to be understood as a case flat rate. They include anaesthesia, examinations before and after the operation, as well as the use of the operation, exclusively compression suits and overnight stay.

Offer and prices

Make an appointment with PD Dr. med. Tremp