19355 Correction of inverted nipples

Name of the Procedure:

Correction of Inverted Nipples (Nipple Eversion Surgery, Nipple Correction Surgery)

Summary

Correction of inverted nipples is a surgical procedure aimed at correcting nipples that are turned inward instead of protruding outward. This is typically done using surgical techniques to release the tissues pulling the nipple inward and may involve sutures to ensure they remain outward.

Purpose

• Medical condition addressed: Inverted nipples due to congenital issues, trauma, breastfeeding difficulties, or aesthetic concerns.
• Goals/Outcomes: To permanently evert the nipples, improve aesthetics, enhance breastfeeding ability, and boost self-confidence.

Indications

• Persistent inward inversion of one or both nipples.
• Difficulty with breastfeeding due to inverted nipples.
• Desire for improved nipple appearance.
• Good overall health without contraindications for surgery.

Preparation

• Pre-procedure instructions: Patients may need to fast for a few hours before the procedure if sedation is involved.
• Medication adjustments: Patients may be advised to stop blood-thinning medications or supplements.
• Diagnostic tests: No specific tests are typically required unless there is an underlying health condition that needs evaluation.

Procedure Description

1. Anesthesia: Local anesthesia with sedation or general anesthesia, depending on patient comfort and surgeon preference.
2. Incision: A small incision is made at the base of the nipple.
3. Released tissues: The surgeon carefully releases the fibrous bands or ducts causing the inversion.
4. Reconstruction: Sutures may be placed to maintain the nipple in its outward position.
5. Closure: The incision is closed with fine sutures or medical glue.

Duration

The procedure typically takes about 45 minutes to 1 hour per nipple.

Setting

This procedure is usually performed in an outpatient clinic or a surgical center.

Personnel

• Surgeon: Performs the procedure.
• Nurses: Assist during surgery and help with pre- and post-operative care.
• Anesthesiologist: Administers and monitors anesthesia if needed.

Risks and Complications

• Common risks: Infection, bleeding, and scarring.
• Rare risks: Loss of nipple sensation, difficulty breastfeeding, recurrence of inversion.
• Management: Any complications are managed with antibiotics for infections, proper wound care, and follow-up appointments.

Benefits

• Expected benefits: Improved nipple appearance, enhanced ability to breastfeed, and increased self-esteem.
• Timeframe: Benefits are typically observed immediately post-surgery, with full results evident after healing.

Recovery

• Post-procedure care: Patients should keep the area clean and dry, avoid strenuous activities, and follow specific wound care instructions.
• Recovery time: Generally, 1 to 2 weeks for initial recovery, with full healing in a few months.
• Restrictions: Avoid heavy lifting and direct pressure on the chest for several weeks.
• Follow-up: Scheduled appointments for wound checks and suture removal if needed.

Alternatives

• Non-surgical options: Nipple stimulation exercises, suction devices.
• Pros and cons: Non-surgical methods are less invasive but may not provide permanent results. Surgery offers a definitive solution with a potential for permanent correction.

Patient Experience

• During the procedure: Patients typically experience minimal discomfort if local anesthesia is used.
• After the procedure: Mild pain, swelling, and bruising, which are managed with pain relievers and ice packs. Most patients can return to normal activities within a few days.

Pain management and comfort measures ensure a smooth recovery process, with most patients reporting significant satisfaction with the results.