Contents
Correction of inverted nipples is a necessity for many women. About 10% of all representatives of the weaker sex face such a pathology. Moreover, some of the patients have such a defect from birth, and some of those who applied faced it as an acquired deviation. The problem is especially acute for mothers during lactation.
In addition to some uncomfortable sensations in the physiological part, women with an irregular nipple shape experience psychological difficulties. We are talking about constraint or other complexes during intimacy with a partner.
So that on the basis of a physical defect the lady does not develop a complex for the psychological component of health, doctors recommend resorting to a correction procedure.
The origin of the problem
Before sending the victim to correct a natural or acquired error, the doctor must first deal with the original source of the unusual deviation. Depending on the initial cause of the transformation, the further course with treatment and the choice in favor of a certain correction method will vary.
Often, the hereditary form of breast cancer becomes the foundation for the pathology. Also, women become victims of inverted nipples due to improper feeding of the child during lactation, or poor breast care at the same time.
Occasionally, wearing the wrong underwear becomes a provocateur of changes. Especially often this happens if a representative of the weak of this world likes to wear corrective bras, corsets that are too tight, or the chosen underwear is not the right size.
From a medical point of view, mastopathy can affect the shape and appearance of this part of the breast. It provokes the growth of the internal tissues of the breast, which leads to irreversible consequences.
There is also a pathology during puberty. This means that the teenage girl at one time had an underdevelopment of all standard sexual characteristics. If the body is unable to independently form the mammary glands and their ducts, the girl will face a similar aesthetic problem.
The price of a specific procedure, which often involves surgery, varies depending on the severity of the lesion. The need to include funds for the recovery period in the final amount is also taken into account. The experience of the doctor and the reputation of the clinic also play an indirect role in shaping the pricing policy.
But since the transformation of the nipple is a delicate issue, doctors recommend using the services of only proven medical institutions. Also, the cost of manipulation may be affected by the original shape of the elongated nipple. In the medical classification, there are two options:
- hiding;
- tightly inverted.
The first paragraph provides for the possibility of returning the indicated part of the body back as soon as the woman begins to breastfeed the child. Natural recovery is quite common.
But if there is a second version, which is simply called retracted, it will not work to cope on its own. The reason lies in the physiological characteristics, since tightly inverted elements never protrude above the surface of the areola at all. Only radical intervention, which involves plastic surgery, can help here.
Types of correction
Before sending the patient to the operating table, the specialist is obliged to conduct an initial examination and, if necessary, ask the ward to pass a series of tests. Such careful preparation is designed to determine whether retraction is true or a false disease. In the second case, you can wait with radical approaches.
The check consists of a survey of the victim. Usually, a false syndrome is easy to identify if the nipple is still shown during breastfeeding, sexual arousal, and the body’s response to cold.
With the true format of the state of affairs, it will not be possible to return the parts to their natural shape, even if you use different versions of increased stimulation. With such a development of the scenario, the doctor must decide what the way to solve the problem will be:
- surgical;
- non-surgical.
Alternative methods include long courses of treatment, where the basis is stimulation with fingers and other devices. The rules of manual execution technique provide for the mandatory execution of all instructions for a whole month at least a couple of times a day.
Schematically, the algorithm for improving the situation is divided into three varieties. Stretch massage – the first type. The areola is taken with two fingers grip in a horizontal plane, and then in a vertical one. Such a measure is aimed at reducing the number of adhesions that are localized at the base of the nipple. It is they who are an obstacle aimed at maintaining an irregular shape.
Scrolling was the second way to fix the problem. At this stage, you will have to stock up on a piece of gauze beforehand. Scrolling is done in different directions with a three-finger grip.
And finally, stimulation. We are talking about a technique that allows you to pump up sexual arousal during foreplay during intimacy.
Another non-radical, but quite effective assistant is a special silicone pad. Outwardly, it is a silicone disc with a hole in the center. After the patient puts on the pad, it will begin to exert gentle pressure on the nipple. Such a forced action is aimed at stimulating the nipple and lengthening it.
It is much easier to cope with the problem for nursing mothers who use a breast pump. This will help prevent nipple eversion. But if we are talking about a young girl who does not have children, then you can use the principle of a breast pump by using a regular 10 ml syringe to pull out.
First, the syringe must be cut, and the end of the plastic tube must be melted with fire. By attaching a homemade piston to the nipple, you need to create a vacuum.
You can use this strategy only after prior consultation with your doctor. If you do not pay due attention to the quality of performance, then you can not only not achieve the promised effectiveness, but also harm the surrounding tissues. An example of the implementation of the principles of the methodology should be shown by the doctor. Independent attempts to help yourself is a bad idea, because only a doctor should establish the degree of development of the disease – true or false.
Alarms
Scientists involved in the preservation of the health of the female breast have compiled something like a list of recommendations that ladies should adhere to. So, representatives of the weaker sex who have reached the age of 50 should pay special attention to this part of the body. It is during this period that menopause overtakes women, when the risks of developing malignant neoplasms with localization in the mammary gland increase several times.
You also need to pay attention to several points of alarming symptoms:
- a modification of the nipple, which has received an inverted shape or has become flat;
- an increase in size leading to thickening;
- skin peeling around the areola;
- selection.
All of the above can be both a signal that the nipples will change their structure and appearance, and the initial stage of breast cancer.
To establish an accurate diagnosis, the victim will be sent to undergo a chest examination, which will cover not only standard palpation. You will need to provide results:
- mammography;
- ultrasound examination;
- and if you suspect an oncological neoplasm – also a puncture.
If the retraction of the nipple can be traced in a pregnant woman, then it is allowed to use the proposed non-radical ways only from the 4th trimester of pregnancy. Otherwise, the percentage probability of complications increases significantly. It is worth remembering that, despite the relative ease of implementation, non-invasive solutions cannot guarantee a 100% positive result. There is also a risk that retraction will return after the stimulation has ended.
Surgical approach
Due to the relatively low percentage of successful outcome without recurrence, many patients prefer surgery to alternative measures. Such a procedure is prescribed even for men, although they are extremely rare with a similar diagnosis.
Of particular difficulty is reconstruction after a mastectomy, when it is necessary to create a nipple almost anew. This requires professionalism and experience of a specialist. It will take a preliminary detailed consultation to calculate the risks, as well as the forecasts of success.
It is important to pay attention to the preliminary stage. The doctor is obliged to study the medical history in detail, and also select the ideal anesthesia format. If necessary, an allergic test is performed at the preparatory stage to eliminate the risks of developing anaphylactic shock.
If we are talking about a small intervention, then it is possible to use local anesthesia. But if the doctor has to work for a long time, restoring tissues at a deep level, then it is better to take advantage of general anesthesia. Also, the patient will need to undergo a laboratory blood test.
Indications and contraindications
The final argument in favor of the operation is the inclusion of the diagnosis or symptoms of the applicant in the list of medical indications. It covers:
- nipple loss;
- loss of the entire areola, which occurs with a mastectomy;
- the desire to change the current form due to aesthetic unattractiveness;
- neutralization of defects or congenital deformities such as bifurcation of the nipple;
- breast lift, when a reduction in the diameter of the areola is involved.
At the same time, the doctor is obliged to check whether the ward has hidden contraindications. Some of them belong to the relative camp, which means that the operation is only temporarily prohibited.
Under more favorable circumstances, the contraindication is removed. The main prohibitions include:
- pregnancy, lactation period;
- processes caused by the action of infections;
- suspicions of oncological neoplasms of a benign and malignant nature;
- problems with normal blood clotting;
- predisposition to the formation of keloid scars.
Separately, individual intolerance to the active substances of anesthesia and concomitant medications is taken into account.
How is the operation going?
Such operations are classified as reconstructive, which means the restoration of not only the correct projection, but also the color of the nipple. To do this, the doctor uses at his own discretion one of the generally accepted surgical techniques, involving autografts. The latter mean the victim’s own tissue.
In total, the manipulation lasts about an hour. At the same time, the expert should not only make the breasts aesthetically attractive. He will have to take care of the restoration of the milk ducts necessary for full breastfeeding.
It is these ducts that determine the shape of the nipple. To implement the plan, the doctor must master the technique of microsurgery, since you will have to make a minimum incision, which is no more than 1 cm.
If, along with the main problem, the patient has a deformity of the areola, then it will have to be reduced to its natural size. Only after this is it possible to remove excess skin, and the nipple is sewn in the correct position, attracting a special cosmetic suture.
Along with this, the technique of cutting with a scalpel along the oblique of the nipple itself is used to make it smaller. But this approach is only suitable for women who no longer plan to breastfeed, since in this scenario, nipple patency is significantly reduced.
The most difficult program is the situation when the victim has no nipple at all. Then standard reconstructive surgery is indispensable. To implement the set, doctors use the tissue of the patient himself from the zone, which has similar pigmentation. Often we are talking about the perineum.
The selected skin area is planted in the affected area in order to formulate the desired skin relief, which would repeat the natural forms. Some surgeons recommend completing the transformation with a tattoo.
Complications and recommendations
Often, these transactions go smoothly. But if a doctor who does not have the proper skills took up the job, then the patient runs the risk of facing a whole list of possible effects, such as infectious lesions due to insufficient sterility of instruments, nerve damage, swelling, and pain.
But the scars after surgery, although they remain, but with the proper qualifications of the physician, remain invisible to the naked eye.
To reduce the risk of developing complications due to your own negligence, experts recommend strictly adhering to the advice of your doctor. Also, do not be shy to use analgesics prescribed by a doctor, if the condition requires it at first. The expert will prescribe the specific dosage and rules for taking. It is strictly forbidden to change the rules of admission, so as not to aggravate the clinical picture.
You need to take care of observing the regimen of visiting the dressing room, and also do not skimp on compression underwear. Intimacy will have to be postponed for about a month, so as not to accidentally contribute to the microtrauma of the chest. As soon as you feel worse, you should immediately contact your doctor to arrange a consultation.