Nipple corrections

This type of correction is most commonly associated with corrections in mammary arias within the framework of breast post neoplasm constructions. There are several nipple correction techniques using surrounding tissues. When ablation is unilateral, it is possible to use a piece of healthy breast nipple that transplants the reconstructed breast.
The results are good in any situation but for symmetry, it is still preferable to transplant a fragment from the contralateral nipple when possible.
In the case of massive breast reduction through amputation, reconstruction of the nipple will be done using one of the reconstruction techniques using local flaps.

Another type of nipple pathology that can be surgically corrected is represented by their intake. It is a deformation of the nipple which instead of promining as it is natural, they are "buried" in areoles. Correction of this may occur spontaneously during a breast augmentation surgery with implants if desired.
It is usually a congenital problem, but it may be linked to breast scarring, mammary dyspeptic infections or past breast surgery. Nipple infestation can cause functional problems such as irritation, redness and discomfort, or may prevent breastfeeding. Surgical correction is often chosen for cosmetic reasons.

The problem of invasive nipples occurs in almost 2% of women. It is anatomically related to the degree of contraction of the mammary ducts that pull the nipple down, as well as the amount of tissue remaining at the base or neck of the nipple. There are several degrees of retraction:

Grade I: The nipple can be pulled out quite easily and held in this position;
Grade II: the nipple can be pulled out harder; Tends to retreat quite easily;
Grade III: It is difficult or impossible to pull out the nipple.

Treatment has involved several procedures over the years, dating back to 1888. The procedures are classified into two broad groups: some keep the breasts, others intersect.

More than 20 surgical procedures have been described, methods ranging from thickening of the nipple or nipple base, addition of tissue to the nipple base, incisions for releasing scar contracts to suture internal incisions to support the nipple.
Frequently Asked Questions What Are The Risks Of Nipple Corrections?
The risks are transplant tissue necrosis, in which case another reconstruction method should be found. Another risk is that of marked asymmetry if the reconstruction is unilateral and is done by the technique of the neighboring flaps.
What is the healing period for nipple corrections?

Usually within 2 weeks healing is complete if complications do not occur. At 12-14 days the suture material will be extracted and the patient can wash the area with warm water and soap. The scar will develop until maturation usually occurs 6 months after surgery. What are the contraindications for nipple corrections?
The contraindications of the surgery are serious blood or skin diseases, associated pathologies of poorly investigated breasts, uncooperative patients and unreal expectations, scarring disorders.
How long does nipple correction work?
The operation usually lasts between 30 and 60 minutes depending on the technique chosen. Neighborhood flap technique is faster. The grafting technique is more laborious and initially involves harvesting the graft from the inguinal area Do I have to stay in the clinic for nipple corrections?

Usually there is no need for hospitalization. If there are associated pathologies it is good that after surgery, stay in the clinic for 24 hours under medical supervision.
Are nipple corrections painful surgery?
It's not a painful operation. It is performed under local or intravenous anesthesia. For enhanced patient comfort, general anesthesia can also be chosen. Postoperatively, at the site of the reconstruction, a discomfort can easily be counteracted with regular anti-algic medication.

Although treatment is very effective, however, 1% of patients do not get the desired results!
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