About Nipple-AREOLA SURGERY
Inverted nipples are often more than just a cosmetic problem — they can get in the way of your ability to breastfeed or even enjoy stimulation. Alternatively, large nipples can cause women to feel physically uncomfortable when wearing thin bras or form fitting shirts. Overly large areolas can also lead many women to feel self-conscious in intimate settings. Because the nipple-areola complex is often the focus point of the breasts, their appearance can have a huge impact on a woman's happiness with her bust. To address the physical and emotional hindrances caused by having a misshapen nipple or areola, board-certified plastic surgeon Roderick M. Urbaniak, M.D. performs surgery to reduce the size of the nipple or areola, correct an inverted nipple, or shift the complex upward on the breast. Nipple-areola correction can also be performed as part of another breast enhancement procedure, such as a breast lift or breast reduction. If you're concerned with the appearance or function of your nipples, contact Urbaniak Plastic Surgery, where our team serves patients all throughout the greater Clearwater area and beyond at our Largo, FL practice.
Types of Nipple Repair
Enlarged nipples can be brought on by a range of factors, such as genetics, puberty, or breastfeeding. Nipple reduction surgery addresses the issue by altering the size and projection of large, elongated nipples, which creates a more attractive and symmetrical shape. This surgery can also reform nipples that are too wide.
An estimated of 10% of women have at least one inverted nipple. This condition occurs in varying degrees because some inverted nipples can be temporarily reversed through stimulation, temperature changes, or with the use of suction cups, while some are unaffected by these situations. Inverted nipples are most often caused by short ducts or other tethering issues that pull the nipple inward.
The areola is the tissue that surrounds the nipple. It is usually pink or brown in color, depending on your unique complexion. Areolas can be naturally disproportionate to the nipple, or they can become too wide or stretched due to breastfeeding, changes in hormones, or changes in weight. Areola reduction surgery addresses these issues by altering the size of the complex to suit the shape of your breasts.
"I had a double mastectomy and though I'm not done with my journey I have to say.... I could not have found a more compassionate and skilled Doctor than Dr Urbaniak. The office and medical staff are exceptional in all aspects of customer service as well and are caring and so friendly. With all the weight on my shoulders I feel so grateful to have them on my "team". When "all this" is behind me, I think I'll go back to him for a neck lift :)"- C.S. / Google / Jul 23, 2019
"Very happy with my procedure! - I had been wanting my breast lifted for a very long time. I breastfeed 2 children and they were very saggy and uneven. I had talked about it for over 15 years. Finally, I was at a point in my life where I could afford to do this procedure and also was able to take the time to recover since my children are now grown. I'm so happy I did this. I feel so much better about my self. Dr Urbanick is a great doctor and my breast look and feel so real! I did not want them to look fake and they truly do not. I was very nervous to have this done and I took my time to do my research. I went on 6 consultations and Dr Urbanick was the last one and I found what I was looking for. He and his staff made me feel very comfortable. I will definitely use him in the future if I decide to do anything else."- K. / RealSelf / Sep 29, 2019
"Dr Urbaniek is an outstanding physician. Not only is he an exceptional surgeon, he cares for his patients prior, during, and after all medical procedures. He is gifted in his craft."- A.J. / Google / Aug 23, 2019
"My whole experience with Dr. Urbaniak and his staff has been exceptional. From the moment you walk in the office, there is a welcoming and friendly feel. Dr. Urbaniak has great bedside manner and has been very thorough in the appointments leading up to and post breast augmentation revision. Additionally, We shared the vision of my desired outcome and we have both been very pleased with my results. I highly recommend Dr. Urbaniak for any initial or revision cosmetic surgical procedure."- A.C. / Google / Jul 30, 2019
"Dr. G and all the staff are amazing! The facility is clean and the decor is so chic and modern. They also carry Jane Iredale makeup, which is my absolute favorite! I’m so happy to be a patient of Dr. G! I will definitely be back! Pick below is one day after my HydraFacial and Xeomin injections."- C.G. / Facebook / May 07, 2019
To be a candidate for nipple-areola surgery, you should be in good overall health, a nonsmoker, and able to maintain a stable weight. You should also be finished with childbearing to prevent the risk of compromising your results. Ideal candidates for nipple-areola complex surgery typically want to address the following issues:
- Correct inverted nipples
- Reduce an elongated or stretched areola size
- Decrease vertical nipple projection
- Treat puffy areolas
- Improve the overall size and shape of the nipple-areola complex
Nipple reduction surgery is performed to correct the look of a wide, elongated nipple. To perform this procedure, Dr. Roderick Urbaniak employs an innovative approach that creates scarring in strategic, hidden areas, such as along the natural curves of the nipple and areola. If your nipple appears elongated, a cylinder of skin is excised from the base of the complex and stitched closed. A wide or large nipple is addressed by removing a select amount of tissue to create a balanced look. The nerves and milk ducts that reside underneath are generally not affected by these procedural methods.
The most simple of these surgeries, a nipple inversion procedure can be performed in our office without the need for general anesthesia. To decreased any potential discomfort, Dr. Urbaniak will apply a local anesthetic to the treated area. A retraction suture is then utilized to bring the nipple out to the correct length. From there, a small incision will be placed on the underside of the nipple, where the retracted milk ducts are treated one at a time. The incision is then sutured closed and dressings will be applied.
For areola reduction surgery, Dr. Roderick Urbaniak will start with removing a portion on the outer edge of the areola. This delicate process excises excess tissue to create a smaller size. The remaining skin is then pulled in, tightened, and the incisions are closed with sutures. Your incisions will be placed in the margins of the areola, which will allow the scars to be more hidden as the skin heals.
What to Expect
Following nipple reduction or inversion surgery, you can resume your daily activities and even drive yourself home with little to no discomfort. Typically, patients are able to return to work the following day. Dr. Roderick Urbaniak will provide you with a nipple protector that must be worn underneath the bra for two weeks following your procedure, which will allow proper healing to take place. Your finalized results will be seen over the course of several months as you nipples take to their new shape and position.
While the recovery for nipple reduction or inversion surgery is not as high maintenance, the healing period for areola reduction is somewhat more intensive. Although the procedure technique is rather simple, you will be advised to take it easy for the first couple of weeks following surgery. Strenuous exercise should be avoided until you are cleared by Dr. Urbaniak. After 1 – 2 weeks, you will attend a follow-up appointment so we can monitor your progress and to ensure that you are recovering well. Your final results will be fully noticed in the months that follow.
Frequently Asked Questions
How much does a nipple repair cost?
The cost of your nipple-areola surgery will depend on the particular procedure you are having and which issues are being addressed. During your initial consultation with Dr. Roderick Urbaniak, your needs and goals will be discussed. Using this information, we will tailor a personalized treatment plan. Once your surgical program has been decided, we will be able to more accurately estimate your total procedure costs. Urbaniak Plastic Surgery accepts many methods of payment as well as medical financing.
Can I still breastfeed after a nipple correction surgery?
If you wish to undergo nipple reduction or inversion surgery, we recommend patients to be done having children because breastfeeding can alter your results. During either of these surgeries, the milk ducts could be altered to correct the size and projection of the nipple. These ducts will be preserved for the most part, and some patients may still be able to breastfeed afterward. Other patients, however, may not be able to. If you're considering nipple reduction or inversion surgery, it's important to have realistic expectations and understand that you may not be able to breastfeed following your procedure.
Will I lose sensation of the nipple after a nipple reduction?
The vital sensory nerves of the nipple are generally deeper than the required incisions go for the surgery. Therefore, physical sensation is often retained following a nipple reduction procedure. If you have any concerns, please discuss them with Dr. Urbaniak during your private consultation.
Can I have a nipple-areola surgery at the same time as a breast lift or breast augmentation?
Certainly. Nipple-areola surgeries are commonly performed in conjunction with other breast procedures, such as breast lifts, augmentations, and reductions. Often, the entire nipple-areola complex may need to be shifted upward to suit your new breast position and shape. A combination of cosmetic procedures can be discussed with Dr. Urbaniak during your consultation.
Can men have nipple correction surgery?
Men and women both can benefit from having nipple-areola surgery. Areola reduction in particular is a common procedure for men who experience issues related to gynecomastia, which can cause men to have enlarged nipple-areola complexes. Dr. Roderick Urbaniak will work with you during your consultation to determine the best course of action that will address your concerns and reach your cosmetic goals.
Plan Your Procedure
- Recovery Time
- 2 weeks
- Average Procedure Time
- 1 hour
ENHANCE your bust
If the size and shape of your nipple-areola complex makes you feel self-conscious about your appearance, Urbaniak Plastic Surgery has a solution. Nipple-areola surgery performed by board-certified plastic surgeon Dr. Roderick Urbaniak is a customized procedure that alters the size, shape, and projection of your nipple or areola depending on your unique concerns. Our Largo, FL cosmetic practice treats patients with a variety of concerns all throughout the greater Clearwater area. Contact our office today to achieve the balanced-looking bust you desire.