There are a number of procedures that can be performed to enhance the appearance of your nipples. Often, these can be treated with relatively simple office-based techniques under local anesthesia. These procedures and techniques tend to be performed for the following reasons:
- to change nipple size
- to repair inverted nipples
- to reposition a nipple
- areolar reduction
- nipple-areolar reconstruction
* Individual results may vary.
View before-and-after pictures of real patients of George Volpe, M.D., F.A.C.S.
Changing your nipple size
it is possible to make nipples both smaller and larger. Sometimes, genetic conditions or breast-feeding may result in elongated nipples, sometimes to the point where they sag. Depending on the specific concern, nipples can be made less prominent and also repaired to eliminate sagging of the nipple itself. It is also possible to enlarge one’s nipples. This can include placement of fat or cartilage grafts or hyaluronic acid fillers. Nipple reduction and nipple repositioning surgery are often performed as a part of breast reduction surgery and other breast enhancement procedure to ensure the nipples are in a natural-looking position for the best possible results.
An inverted nipple is a common condition. This can be due to many factors including congenital, post-infection, or trauma and sometimes can be the result of cancer. If one has developed a one-sided inversion of the nipple in the recent past, it should be brought to the attention of your primary care physician to rule out an underlying breast cancer. However, if these changes have been long-standing and thought to be due to benign conditions, repair of your inverted nipples can be performed. I utilize several different techniques for this depending on the specific situation. The technique may depend on whether the inverted nipple is dynamic (it is inverted only part of the time) or static (always inverted). There are a number of other factors in deciding what technique including the possibility of future breastfeeding.
Written on July 3, 2019
Dr. Volpe is a perfectionist!” He immediately made me feel relaxed and confident that he understood exactly what I was looking for. I couldn’t be happier with the entire process and, of course, the results!
There are times when a nipple may not be in the same location as the nipple on the other side. There is the possibility that the nipple and areolar can be repositioned to improve symmetry. There may be limitations on this and we would review realistic changes at your consultation along with possible resulting scarring.
Genetic and post-pregnancy changes may also include the development of very large areolas. One technique commonly utilized to reduce the diameter of the areolar is to remove a donut-shaped piece of the outer areola. Following placement of sutures, a smaller areolar diameter results. This does result in a scar around the border of the areolar which is expected to fade significantly with time.
Nipple areolar reconstruction
The most common reason for an absence of a nipple and areola is following treatment for breast cancer. There are other benign conditions that may also result in this. It is possible to create a reasonable facsimile of a nipple-areolar complex and a number of techniques are available. This may require skin grafting, tattooing, and other small techniques to create. There are a number of options that we would thoroughly discuss at your consultation.