About Nipple Repair
San Francisco plastic surgeon Dr. James Anthony specializes in cosmetic breast surgery, ranging from augmentation enhancements to corrective treatments. For women who have inverted nipples, Dr. Anthony performs nipple repair surgery to create a normal appearance. An inverted nipple is a condition in which the nipple is pulled inward, whereas a normal-positioned nipple points outward. The nipple can change shape due to breastfeeding, genetics, and hormones. The most common cause of inverted nipples is short ducts and other underlying issues, such as tethering tissues that pull the nipple inward. It is estimated that roughly 10% of women have at least one inverted nipple. Inverted nipple repair surgery can be performed to correct this issue and will vary, depending on the degree of the inversion. To learn more or to schedule your consultation, we invite you to call the plastic surgery office of Dr. James Anthony.
"Dr Anthony was recommended to me, and I've had more than one procedure at his clinic. At my initial consultation I felt at ease to ask a myriad of questions. He has a warm style, listens and works to understand each individual body and situation. His work is a skilled blend of art and science, and he recommends what is best for the patient, not what is trending. Each time I've been impressed with Dr Anthony's ability to minimize scars and hide them well. In preparation for surgery, what to expect on the day is explained in detail. I'm delighted with my results which look natural and have stood the test of time well. Dr Anthony's team is excellent - Ann, Jasmine and Megan are personal and caring."- M.B. / Yelp / Apr 19, 2019
"I was referred by another plastic surgeon and it turned out to be the best referral. Dr. Anthony replaced my saline implants and made a small adjustment so my breasts are more symmetrical. The whole experience from the first consultation, to the pre-op, to the actual surgery, to post op was so easy and comfortable. It was a harmonious effort of professionals that took care of me throughout the process. Dr. Anthony and his staff were very responsive. Most importantly, I am very happy with the results and as a runner my downtime didn't take much. I was able to ease into running the 2nd week after surgery. Thank you so much, Dr. Anthony!!"- Anonymous / Healthgrades / May 02, 2019
"Dr. James Anthony does amazing work and has amazing patient care. I am very nervous about having any kind of surgery and he made me feel so comfortable. He went above and beyond my expectations. He genuinely cares about his patients needs and the successful outcome of his work. I am also very appreciative of the kindness of his entire staff."- S.B. / Yelp / Dec 23, 2018
"Excellent work with minimal, well-hidden scarring - Dr Anthony was a referral, and I've had more than one procedure at his clinic. I felt at ease to ask a myriad of questions at my first consultation. Dr Anthony's style is warm, and he considers each individual body and situation to make treatment recommendations. His work is a skilled blend of art and science, and he recommends what is best for the patient, not what is trending. Dr Anthony's skilled handiwork and his ability to minimize scarring is excellent. In preparation for surgery, what to expect on the day is explained in detail. My results look natural and have have lasted well over the long term. Ann, Jasmine and Megan in Dr Anthony's team are attentive and responsive."- F. / RealSelf / Apr 19, 2019
"I just got out of his office got fillers instant results he his a great doctor I will return to get more work absolutely amazing. Very caring and very honest he will let you know what you need and what you don't Thank you Dr Anthony for making me feel better about my self"- P.A. / Yelp / Feb 19, 2019
Many women can get an inverted nipple from breastfeeding. Regardless of the underlying cause, if you have an inverted nipple and nipple stimulation and other suction techniques have not been successful in getting the nipple to protrude outwards, surgery may be recommended. You would be considered a good candidate for inverted nipple correction surgery if you are in overall good health and are past childbearing. Patients should also be at a stable weight. During your private consultation with Dr. Anthony, he will discuss the following:
- The degree of nipple inversion
- The likely effect the inversion has on breastfeeding
- The best solution to correct the inverted nipple
- Surgical techniques to consider
Nipple inversion surgery is an outpatient procedure and in most cases, a relatively simple treatment that can be performed without the need for general anesthesia. Dr. Anthony generally uses a numbing agent that can withstand the duration of the surgery that allows him to perform the treatment without any discomfort to the patient. A retraction suture is then inserted and used to pull the nipple out to its full length. To do this, a tiny incision is made at the inferior side of the nipple. Because the nipple is a very sensitive area of the breast, Dr. Anthony carefully retracts the milk ducts one at a time. Once this process has been completed, the incision is then closed and dressed. Nipple inversion surgery usually takes about an hour.
What to Expect
After nipple inversion surgery, most patients are able to drive themselves home. If the surgical case is more complex and a different type of sedation was required, the patient would need to make sure plans have been made for transportation. Once released, most patients are able to return to normal activities with little to no discomfort. Typically, you can return to work the following day. The nipple may be sensitive or sore for a few days. Optimal results may take several months as the nipples settle into their new position over time.
Frequently Asked Questions
Could an inverted nipple mean breast cancer?
In the majority of cases, an inverted nipple does not mean you have breast cancer. If you have an inverted nipple with other symptoms, it is important to have an exam to rule out anything serious. Some women have normally flat nipples and others develop an inverted nipple due to certain events, such as pregnancy or nursing. A normal inverted nipple should not have any accompanying symptoms.
Am I able to breastfeed after a nipple repair surgery?
Nipple correction surgery is usually recommended for women who have completed childbearing. During a nipple inversion surgery, the milk ducts are altered to correct nipple projection and size. During surgery, while the milk ducts are usually conserved, it is still recommended to hold off on having this surgery until after all pregnancies so that the results are not impacted. In rare cases, breastfeeding may no longer be possible after this type of surgery.
Will I lose nipple sensation after an inverted nipple repair?
The important sensory nerves that give the nipples their sensation are generally located deeper in the breast than the required incisions for the surgery. Therefore, physical sensation is typically spared after an inverted nipple repair.
Can I have a nipple repair at the same time as a breast lift or breast augmentation?
Yes. It is common to address any nipple irregularities, such as an inverted nipple, in conjunction with cosmetic breast surgery, such as breast augmentation or a breast lift. For women who only want their nipple addressed, a nipple inversion can be performed solely in our plastic surgery office without the need for general anesthesia.
Do you feel self-conscious about the look of your nipples? If you have inverted nipples and are looking for a solution to repair them and attain a natural look, we invite you to call the San Francisco plastic surgery center of Dr. James Anthony. During your consultation, discover how nipple correction surgery can dramatically improve your appearance. Dr. Anthony can sit with you to discuss your concerns and cosmetic goals to create a personalized treatment plan just for you.