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 see Dr Anthony a couple times of year for botox on my forehead and worry lines. I do not like the lines on my forehead but I also don't want to look like I have had botox or a frozen look on my forehead. Dr. Anthony achieves the perfect balance for me by decreasing the severity of my wrinkles but not completely eliminating them for a more natural look. We started by doing some "baby botox" and have increased my amount over the last year and half. I had experience with other doctors before I started seeing Dr. Anthony and he is my favorite.I trust him and would highly recommend him, especially if you are new to botox injections."- K.D. / Yelp / Nov 05, 2019
"The best! Dr. Anthony is a stellar physician and surgeon. His approach to technique and art is truly amazing. His attention to detail(s), bedside manner and follow up is superb. His office team is attentive, smart and always available! Ann and Jazmine consistently and effectively manage your appointments, skin care, recovery and overall experience. The "team" assist you from end to end. You feel as if you are the only patient. I recently, had two procedures with Dr. Anthony. Breast reduction/lift and neck lift! His team and anesthesiologist are unmatched in the outpatient world. Their attention to YOU, procedure and policy truly put you in the best care possible as you elect surgery. There are many choices in the plastic surgery world, but know, when you have the very best surgeon and team with you and always available you are ahead of the game!"- D.P. / Yelp / Oct 29, 2019
"I highly recommend Dr. James Anthony without reservation. I went to him about a year ago to address an aging neck because a physician friend of mine said he was the best. Though I had several consultations with other surgeons, none of them compared with his clear vision, his confident approach, his genuine warmth and his focused attention. Impressively, he didn't push any other procedures along with lifting the neck, saying repeatedly that he wouldn't recommend anything else be done to me (despite my not being young), whereas other surgeons pressed for additional work like face lifts or fat grafting -- things those close to me felt were unnecessary. Dr. Anthony is both a highly skilled surgeon and a life-long artist, so he understands how to preserve a natural look. He was brilliant throughout the entire process, and I and my family couldn't be more thrilled with both that process and the beautiful, natural result which has taken years off me. He is also an extremely responsive physician who provided multiple consults before surgery as questions arose, as well as regular check-ups for a year after surgery, and is un-hurried and attentive in exams. Recovery was much easier than I imagined, and his nursing staff (his surgical center adjoins his office) was wonderful -- he can send a skilled night nurse home with you. There were absolutely no complications, everything healed perfectly and much sooner than I thought, and there are no visible scars whatsoever, no puckering, no problems. This is a wonderful and highly skilled surgeon and a complete pleasure to interact with from beginning to end."- L.B. / Yelp / May 30, 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
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.