Inversion of the nipples is quite common and, although it is mostly a benign condition, it can cause psychological distress to women.
Most of the time chronic inflammation behind the duct is associated with the dilation of the bigger ducts (duct ectasia) and is the cause of the inversion. The presence of a lesion, which can retract the nipple inside the breast, should always be excluded.
For this reason, prior to undertaking any surgical procedures a thorough clinical examination, mammogram and ultrasound scan should be undertaken.
If all the investigations are negative for malignant disease there are two ways of dealing with the problem:
- Use a device called Niplette which creates a chronic aspiration of the nipple facilitating the eversion.
- A surgical procedure which releases the ducts and prevents the sinking of the nipple.
All operations have benefits and risks. The possible complications depend on many factors such as the patient’s characteristics and the type of operation. The most common complication in this case is the re-flattening of the nipple. You will have the possibility to discuss this with Mr Bonomi during the consultation.
If your nipples were removed during mastectomy, you can choose to have surgery or 3D tattooing or both to recreate the nipple and the areola.
Mr Bonomi will reconstruct the nipple as a day case surgical procedure by using the skin of the breast located where the new nipple needs to be. In selected cases, he can also perform a nipple sharing technique; half of the nipple from the other breast can be utilized to recreate the new nipple.
All operations have risks and benefits. The possible complications following the surgery depend on many factors such as the patient’s characteristics and the type of operation. The reconstructed nipple will flatten and lose most of its projection over time. The new nipple will not have any sensation and in case of nipple sharing the other one may also loose part of the sensitivity. You will have the possibility to discuss this with Mr Bonomi during the consultation.