As one of the essentials for beautiful breasts, nipples are as important as the adequate size and elasticity of
breasts. The overall harmony between breasts and nipples makes the breasts look more beautiful. Thus,
inverted nipples require a corrective surgery, and large or sagging nipples require a reduction surgery.
Typically, the diameter of a nipple is about 1cm and the height is about 7mm, the excessively large or long nipple doesn’t look good and is a mismatch between the nipple and the breast. This is called nipple hypertrophy. It doesn’t affect the function of a nipple; however, usually a surgery is wanted as it doesn’t look good. It is mostly acquired from the enlargement of nipples due to breast-feeding, but some individuals have large nipples congenitally. During the surgery, the incision of the excessive nipples tissue is followed by a suture, and there is almost no scar or side effect. Thus, patients can do the daily routine right after the surgery.
The surgical methods of nipple reduction can be differentiated as the preservation of lactiferous drifts in which
lactiferous drifts are not incised and the non-preservation of lactiferous drifts in which lactiferous drifts are incised.
Preservation of Lactiferous Drifts
The surgical scar is not as visible since the incision of the boundary line of areola removes the skin around the
areola and reduces the amount of lacteal tissue.
Right after the surgery, fine wrinkles may be visible around the boundary line of areola, but the wrinkles will
become smooth after 6 months – 1year from the surgery.
If the diameter of a nipple is wide
The adequate amount of tissue is removed to reduce the width.
If the height of a nipple is high
The central part or lower part of a nipple is removed to reduce the height.
Non-preservation of Lactiferous Drifts
The upper part of a nipple is incised in a V-shape to shape a nipple, and this surgical method ensures the
reduction of the size of a nipple.
An inverted nipple is a condition where the nipple is flat or retracted into the breast, instead of pointing outward. It is caused by the lack of tissue supporting a nipple, shorter lactiferous drifts than normal, and the hardened fiber tissue pulling a nipple, and these obstruct protruding of a nipple. An inverted nipple doesn’t look beautiful, and lacteal secretion is easily trapped in a nipple which may cause mammillitis. Also, it disable breast-feeding and can’t act as an erogenic zone. Frequent mammillitis and breast-feeding problems may increase the rate of breast cancer, thus, a corrective surgery for an inverted nipples is unavoidable.
Surgical methods depends upon the degree of inverted nipples; slight inversion in which nipples are sometimes retracted, repetitious inversions in which nipples point inward and outward back and forth, and severe inversion in which nipples are kept retracted. Also, it can be differentiated as preservation of lactiferous drifts and non -preservation of lactiferous drifts.
Preservation of Lactiferous Drifts
If nipples are slightly retracted; Non-incision procedure
This procedure is similar to the non-incision method of double eyelid surgery, and a hole is pierced around
If a patient wants to breast-feed in the future and a nipple is slightly retracted: A surgical method using triangular skin flaps
In this procedure, lactiferous drift and fiber tissue are pulled out so that a nipple is protruded, and the tissue
under the nipples is filled to prevent the reinversion of the nipple.
Non-preservation of Lactiferous Drifts: Broadbent-Woof Method
This surgery is conducted for the individuals who experience the reinversion of a nipple after a surgery and
severe nipple inversion.
The important aspect of the correction surgery for inverted nipples is to prevent the reinversion of nipples
and to enable breast-feeding by keeping the lactiferous drafts.