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Nipple Contouring procedures performed by Dr. Friedman include:
Dr. Friedman performs many nipple procedures under local anesthesia and laughing gas, although IV sedation or a general anesthetic may be used. Many nipple procedures are performed in conjunction with other breast procedures, such as enlargement, lifting, reduction, and reconstruction. Any external stitches will absorb on their own. Most nipple scars are quite inconspicuous.Back To Top
Problem: The nipple looks flat or appears as a slit-like depression.
Cause: Fibrous strands that prevent the nipple from projecting.
Surgery: A small incision in the nipple releases the tethering bands. If necessary, an internal suture around the base of the nipple prevents the nipple from “falling back in.”
Detail: Many women undergoing breast enlargement will note improvement of inverted nipples. The pressure of the implant may “push out” an inverted nipple.
Problem: The nipple is too large or “sticks out” too much. It may be difficult to conceal in clothing.
Cause: May be genetic or related to childbirth and breastfeeding.
Surgery: A wedge of excessive nipple is removed, repairing the edges and leaving the remaining nipple tissues intact.
Detail: This procedure will not reduce nipple sensation but frequently compromises breastfeeding.
Problem: The nipple sags or droops. It may also be enlarged.
Cause: Commonly related to breastfeeding and subsequent loss of breast volume.
Surgery: An enlarged nipple may be reduced, improving the sagging. Alternatively, a small crescent of pigmented areolar skin may be removed just above the nipple, lifting the sagging nipple.
Detail: Breast enlargement frequently improves drooping nipples. The pressure of the implant may “push up” a sagging nipple.
Problem: The nipple is absent.
Cause: Usually due to mastectomy for breast cancer.
Surgery: Local tissues are rearranged to create a new nipple.
Detail: The reconstructed nipple-areola is subsequently pigmented via medical tattooing.
Problem: The areola (pigmented tissue surrounding the nipple) is enlarged.
Cause: May be genetic or related to stretching from childbirth and breastfeeding.
Surgery: The outer portion of the areola is removed. A permanent pursestring (drawstring) suture is placed to cinch down the diameter, reducing the areola size.
Detail: The procedure is generally done in conjunction with breast enlargement and lifting. It is also a standard part of most breast lifts and reductions.
One week before your procedure:
At home after the procedure:
Please feel free to ask Dr. Friedman or his staff about any additional questions or concerns.Back To Top