correction of the nipple for a natural shape and size

Correction nipple PD Dr Tremp

Correct aesthetic details on the nipple

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

Individual women have temporary or permanent inward facing nipples. Both nipples can also be affected. Causes for hatching 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. The 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 significantly to the feminine breast.

PD Dr med Mathias Tremp Consulting

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

PD. Dr. med. Mathias Tremp (specialist in plastic and aesthetic surgery) will inform you fully about the procedure.

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

Malformations and asymmetries of the nipple

Normal nipples are the norm. Congenital malformations can put a lot of strain on affected patients. The malformations of the nipple that develop over the course of life can give the impression of an unattractive breast.

Athelie and Polythelie

The athelie and polythelie concerns missing or surplus nipples. They can occur in both sexes.

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

The polythelia has too many nipples. The excess nipple can be removed without any problems. The remaining scar will fade with time.

Reduction of large nipple

Particularly large nipples can be unpleasant for affected women. 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 hardly visible.

Enlargement of small nipple

Nipples can also be very small. An implantation of your own tissue can enlarge a small nipple.

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

Reduction of the areola

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

This involves removing excess skin around the atria. The Benelli method is very gentle. The remaining scars are hardly visible.

reconstruction of the nipple and areola

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

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

inverted nipples (inverted nipples)

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

A flat wart has a very short shaft. Because the flat wart only protrudes a little during stimulation, problems can occur during breastfeeding.

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

The false nipple (grade 1) is retracted in the resting state. In case of touching or severe cold, this nipple will turn outwards by itself. 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 pressed outwards, but retracts again as soon as the pressure is released.

With a 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 on stimulation.

Cause of nipples

The reason for nipple warts is too shortened milk ducts or inflammation in the past. Hatch warts 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 formers or massages (Hoffmann technique) often achieve only minor improvements.

In 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 loosened without severing the milk ducts.

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

Aesthetic problems of nipples

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

When is the optimal time for nipple correction?

In principle, a correction should not be carried out before the breast growth is complete. In individual cases, it may be advisable to make the correction already when the deformity occurs during puberty.

This enables the treated girl to achieve normal social and physical development. It should be noted that the procedure may affect the ability to breastfeed later.

Intervention, ability to work, risks and follow-up treatment

A procedure for correction or reconstruction of the nipple is short and not very stressful. Depending on the method used, the reconstructed nipple is shaped on an outpatient basis and under local anaesthetic.

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

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

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

In addition, the sensitivity of the nipple or atrium may be reduced. There may also be an impairment or loss of the ability to breastfeed.

A recurrence of the nipple cannot be excluded in rare cases.

Costs for nipple corrections

The costs of a correction of the nipple are discussed in detail with the patient beforehand. The costs are to be understood as a flat rate per case. They include anesthesia, pre- and post-operative examinations, as well as the use of the operating room, excluding compression suits and overnight stay.

Contact us for a non-binding consultation.

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