Know All About Nipple Enhancement

CONTENTS

How Can Inverted Nipples Be Corrected?

Nipple inversion can happen in both men and women, where instead of protruding out, the nipple faces inside. This can be a birth defect or due to breastfeeding or trauma.
There are three grades of nipple inversion that have been identified:
Grade 1 are ‘shy nipples’ and can be turned outwards with stimulation for some time. The milk ducts aren’t compromised.
Grade 2 can be everted but only temporarily. Breastfeeding is also not guaranteed.
Grade 3 nipples are severely inverted and breast feeding is considered impossible. These women suffer from rashes and complications arising from hygiene.

People also consider erect and puckered nipples attractive and as a sign of  sexual arousal. Therefore, men and women with flat nipples may feel conscious and undergo a nipple enhancement procedure to improve their body image.
 


What Is A Nipple Enhancement?

Long, large or inverted nipples can be treated with a procedure commonly referred to as a nipple correction surgery. Enhancing the nipples helps with self esteem issues in men and women alike.

Nipple inversion is surprisingly common in both men and women and surgery is generally prescribed only if non surgical methods have failed.
This condition affects nearly 2% of the population and may be present right from birth or manifest itself during breast development.  Although it is medically harmless, women need to be sure before getting their nipples corrected as it may hamper breastfeeding in the future. However, in most cases, an infant can just as easily obtain milk from the mother. 

Retraction of nipple is caused by a short duct system that runs from the chest wall to the ends in the nipples or because of an excess of connective tissue in the nipple.
Nipple inversion may cause the individual to have a negative body image. Getting the procedure done can improve their appearance and confidence. 

This is also called Nipple Correction, Enlargement and Augmentation.
 


Who Are The Ideal Candidates For Nipple Enhancement?

Nipple enhancement can be opted by:

People who are 18 and above.

Women who are self conscious of the appearance of their inverted nipples and want to improve their shape.

Individuals who are healthy both mentally and physically.

People who have realistic expectations from the procedure.


What Are The Different Types Of Nipple Enhancement?

There are two techniques that are used in this procedure; one that involves preserving the milk ducts and the other that does not.

Nipple eversion with partial preservation of milk ducts - This is also known as the parachute-flap technique. In this kind of surgery, an incision is made just around the base of the areola but in such a manner that it is still attached to the breast. The tissue is then pulled and stitched into a more desirable ‘projecting’ shape. Since the scar goes around the areola, the tight skin around it actually pulls and gives a more puckered look. Medicated gauze is then added to the treated area.
This technique does not impair lactation.

Detached duct technique - This procedure is simpler and more common but is only deemed necessary in the extreme cases. Local anesthesia is given to the patient and the surgeon makes an incision at the base of the nipple. He detaches the short milk ducts which automatically turns the nipple outward to stick out naturally. He then cleans the incision, stitches it up and applies medicated gauze over the area operated on. This technique does not preserve the milk ducts which makes breastfeed in the future for these women highly unlikely.


What To Do Before A Nipple Enhancement Surgery?

  • To undergo the procedure, the medical history of the patient is first checked and the breasts are examined. This is to ensure that the treatment could produce desired results and that the patient is fit to undergo the procedure.

  • Scans and mammography may also be required to ensure that the nipple inversion is not caused by breast cancer. 

  • Smoking and consuming alcohol should be stopped two weeks prior to the surgery as they constrict blood vessels, and thus prolong recovery time.

  • Aspirin and other blood thinners should not be taken for a certain period of time before the procedure. These cause excessive bleeding during and after the operation.


What Is The Post-operative Care For Nipple Enhancement?

  • Appropriate and prescribed pain medication should be consumed. Consult with your doctor before taking aspirin or ibuprofen.

  • Patients generally have to go back to your doctor after a few days of the surgery to get the dressings removed.

  • A surgical bra may also have to be worn, as directed by your surgeon for complete after care.

  • Avoid any physical contact with nipples as they may feel sore for a few weeks in the recovery.

  • Some sort of anti-scarring ointment can be applied in order to minimise scars during the initial stages of the healing.

  • Some sort of garment or pad has to be placed over the nipples as they may be oozing excess fluid for two weeks after the procedure.

  • Do not exert yourself physically and consult with your doctor about when you can begin working out.

  • Abstain from smoking as it can slow down the healing process.


 


What Is The Post-operative Diet For A Nipple Enhancement?

Eat a well balanced diet, rich in proteins and vitamins. This helps in a successful recovery.

Foods like spinach and almonds, having vitamin E should be consumed to facilitate better recovery and lasting results.

Drink plenty of fluids and stay hydrated to ensure good blood flow and fast healing.

Ensure that you take the prescribed medication and supplements without fail.

Refrain from drinking alcohol for a week after the procedure as it can lead to dehydration.


What Are The Realistic Expectations From A Nipple Enhancement?

  • Nipple corrective procedures are relatively straightforward procedures done under either general or local anesthetic. 

  • Your surgeon may discuss the procedural details with you before you opt for the procedure to determine the expected results. 

  • Nipple enlargements, are conducted to provide a breast lift without going in for complex breast augmentations procedures. However, with weight change or pregnancy, nipples can again change in shape.

  • Breast nipple reductions are done in women who have do not have plans to breastfeed in the future. Nipple inversions are procedures that can possibly divide milk ducts and can hinder further chances of lactation.

  • The results of nipple enhancement can last a life time with proper after care,  both in terms of enlargemnet and reduction.


What Are The Pros And Cons Of Nipple Enhancement?

  • Pros

  • Cons

  • Nipple surgeries bring back the confidence in the way the breast feels, which ultimately leads to a positive impact. 

  • Many women with sagging and drooping breasts can enhance their aesthetic quality by a simple nipple elevation rather than opting for a breast augmentation procedure.

  • With newer techniques in the performance of the procedure, most surgeons are able to maintain nipple sensitivity, while benefitting their appearance.

  • Discomfort with enlarged nipples, causing enhanced sensitivity are tackled with nipple reduction procedures. 

  • Re inversion is a possibility after the procedure. This is commonly tackled with repeating the procedure to provide the required aesthetic effect.

  • In some instances, scars are visible and can cause pigmentation of the skin around the nipple. This is usually dealt with by resorting to scar revisions that help even out the scars and skin tone.

  • It has been noted that this surgery reduces the sensation around the nipple and sometimes the reconstruction removes some of the ducts within the breast. This can hamper breast feeding. But this is a rare occurrence.


Who Should Avoid Undergoing A Nipple Enhancement?    

  • Patients who have are fully informed about the procedure and its effects are the ones who make ideal candidates for the procedure.

  • Pregnant women are advised to wait until childbearing and lactation is complete. This is because nipple corrective procedures do not guarantee the retention of milk production after the procedure.

  • People who have had problems with healing in past operations are advised to refrain from undergoing this procedure. The poor healing can make the changes unappealing and will make the patient go in for the surgery again. 

  • Patients currently on blood thinning agents such as aspirin are also asked to go through an evaluation with a physician, prior to the procedure. This limits risks that could be incurred during the procedure.

  • Patients who have a tendency towards keloid (raised scars) formation are advised against the surgery. A cosmetic surgeon would can tell you that in such cases, scars could become very visible, leading to aesthetic displeasure.


What Are The Alternatives To A Nipple Enhancement?

There are various methods that can be used to enhance inverted nipples that doesn’t involve surgery.

Breast Shells - These are soft circular discs that have a small hole in them for the nipple to be pushed forward. The breast has to be cupped inside the shield with the nipple in the hole. A shell is then used to cover the whole area. The shell applies pressure on the breast and keeps the nipple erect. It can be easily worn by new mothers just before feeding or even under a shirt easily. However, some women have reported that these shells hamper breastfeeding or do nothing to improve the experience.

Breast Pumps - This method too can be used by pregnant women and new mothers right before lactation. A electric pump is used in order to pull out the nipple without damaging the tissue. The phalange of the pump is placed over the nipple in such a way that it covers it completely. The device is held against the breast firmly, to ensure that the skin is sealed. The pump is turned on and a comfortable pressure has to be used to evert the nipple.

Inverted Syringe - A syringe can also act as makeshift eversion device. Cut off the end (the side opposite to the plunger) of a needleless syringe and push the plunger through the cut end. Place the uncut end over your nipple and gently pull the plunger outward till your comfort level is reached. This can be done at home and one must be careful while constructing and using it. However, the result is temporary.

Niplette - The Niplette is a device that pulls on the nipples for a period of time, thereby elongating the short milk ducts. It involves wearing a small plastic piece over the areola with a valve on the other end. A syringe is pushed and pulled to create suction and pull the nipple out. Once this is done, the syringe is carefully removed and the device can be worn under shirts easily. This method is however deemed aggressive and can cause some pain to the user in the areola. 

These methods are simple and are expected to give results within a few weeks’ time.


Does Nipple Enhancement Lead To Scarring?

Any surgery involving incisions, involves scars. However, nipple enhancement requires very few incisions just beside the areola. This makes them hardly discernible. Appropriate medication can reduce the scars further. A good surgeon can ensure that there is very little or even no scarring over time.  


What Are the Temporary Side-effects Of Nipple Enhancement? 

  • Nipples can be swollen and sore for a few days to a week after the procedure. This complication can be treated with icing the area soon after the procedure, to reduce such effects.

  • Post operative discomfort is usually treated with over the counter medications.

  • To prevent the rupture of the sutures; bathing, work and driving should be restricted for a couple of days after the operation. Strenuous activities should be restricted for at least three weeks post op to reduce risk of a rupture. 

  • Scars will be firm and pink for a few days but will start fading after a few weeks.


How To Choose A Surgeon For A Nipple Enhancement Procedure?

After concluding on the type of procedure you wish to opt for, it is best to refer to a few surgeons who can provide you with their approach to the procedure. When looking into a surgeon’s past record, you need to ensure that their credentials are registered with the local medical council. This helps a patient verify that they are being treated by a doctor whose skills are internationally recognised. Most plastic surgeons who perform successful procedures, work in accredited institutes that ascertain their standards are up to par to those in Western countries.

Patients, should openly discuss their concerns about the procedure with the treating surgeon. It is important to check for the surgeon’s availability after your procedure to answer any queries and provide follow up appointments.

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