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INVERTED NIPPLEInverted nipples or
retraction of the nipples is a condition in which the
nipple ducts are shorter than normal and there is a
tethering or pulling inward of the nipple. Retraction of
the nipple is caused by a short milk duct system running
from the chest wall to the nipple. Although a benign
condition, it is usually perceived as a problem for
women who wish to breast-feed. Development of nipple
retraction in adults should be evaluated to make sure a
tumor is not the cause of retraction. Today, there are
two types of procedures that address this - those that
preserve ductal integrity and those that do not.
Are You A Good Candidate?
As with all
elective surgery, good health and realistic expectations
are prerequisites, but if you are not concerned about
breastfeeding, then inverted nipple repair surgery may
be appropriate, especially if:
- You have no known ophthalmic problems like glaucoma or a detached retina,
nor any medical condition such as high blood pressure, circulatory problems,
hypothyroidism or other thyroid related conditions.
- You tell Dr Mounir about any and all medical conditions and any allergies
you may have as well as all medications, herbal supplements or natural
supplements you are taking (both prescription and non-prescription).
- You are not prone to scarring problems such as keloids.
- You have a good understanding of the healing process and the limitations of
the procedure.
Make sure to discuss all of the options available with
your gynecologist before making a decision.
Are There Risks Or Potential Side Effects?
As with all surgeries, there is always a possibility of
complications, including infection, a reaction to the
anesthesia, hematoma, seroma, nerve damage, the need for
second or sometimes third procedures and the occurrence
of asymmetries or irregularities. Should infection
occur, Dr Mounir will prescribe a treatment with
antibiotics.
The ability to breastfeed cannot be guaranteed after any
surgery to correct inverted nipples. Be sure to ask Dr
Mounir about all of the risks associated with the
procedure your considering before you make any decision.
What To Expect Post-Procedure?
The extent of the post-operative swelling and bruising
is dependent on whether you tend to bruise or swell
easily. The amount you can expect varies for each
individual but past surgeries or injuries should be a
good indication. Keep your head elevated, above the
level of your heart, when lying down. Applying cold
compresses, or small ice packs will reduce swelling and
relieve discomfort. Many patients use a watertight
plastic sandwich bag filled with an ounce of frozen
berries or peas. Regular icing is the key to relieving
swelling and the resulting pain.
Post surgery, the nipples will be covered with medicated
gauze. Under the gauze will be tiny, stitched incisions.
As with any surgery, you may feel the after-effects of
the anesthetic. Most likely, you will be allowed to
leave the hospital within a few hours after the surgery,
but you should have someone else drive you home. You
will probably be allowed to shower the next day.
As with any surgery, it is also sometimes normal to feel
anxious or depressed in the days or weeks following the
operation. If there is heavy bleeding or increased pain,
be sure to inform Dr Mounir.
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