Breast surgery – Correction of inverted nipple
Inverted nipples form mostly due to wrong embryonic development of breast nipple, when so-called epithelium cavity does not lift and does not change onto a breast nipple. This state is usually genetically based. It can occur also during life as a consequence of some breast surgeries or by inflammatory or tumorous breast diseases. In these cases it is necessary to examine the breasts carefully and to treat the original disease. Inverted nipples represent not only cosmetic defect but also functional because they can limit or even block the breast feeding. They hinder also hygiene and can cause unpleasant skin inflammations in the spot of inversion. They can occur on one side or as both-sided.
Pre-surgical preparation:
The surgery needs no special preparation and can be performed very well under local anesthesia. It is necessary to undergo mammography examination before the surgery and the mammography specialist or oncologist also indicates the surgery. Do not take drugs containing acetylsalicylic acid (Acylpirin, Aspirin, Anopyrin etc.) or other drugs that increase bleeding three weeks before the surgery. Contraindication to this surgery could be certain bleeding states, serious general disease and acute inflammatory states in the place of nipples or their surrounding. The patient must be acquainted with the fact that during these procedures with cutting off the lactiferous gland there is a high risk of impossibility to breastfeed.

Surgery:
Conservative methods of removal of inverted nipples are not very successful. There is a whole range of surgical approaches. From very simple to relatively difficult. In general we can say that approaches with preservation of lactiferous glands lead very often to recurrences. During more difficult techniques the surgeons intersect pulling structures and they sew the tissues into the shape of prominent nipple. Other techniques try to reach the prominence by excision of skin folds on its edge and on the areola with subsequent suturing of the edges together. Even very simple surgeries are successful. The lactiferous glands and other shortened structures are cut off with sharp needle or narrow scalpel and the nipple is fixed in the future position for 2-3 weeks with surgical pins (similar to piercing) or with silicone drain.
Post-surgical care:
The procedure can be out-patient or with short hospitalization. Post-surgical care consists only in several bandages and the possible sutures are removed approximately 8-10 days after the surgery.
Complications:
Possible complication is recurrence of the disease, which is relatively frequent in procedures, when the lactiferous glands are not cut. An inflammatory complication might occur, bleeding and hematomas after the surgery are not usually significant.
correction, invertes nipple
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Breast Surgery - Inverted nipple correction
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