Nipple Aesthetic Surgery

The formation of small or large nipples due to genetic factors…

Genetically, variations in the size of the nipples can create an unsatisfactory appearance aesthetically and may also lead to functional issues. With modern techniques and under the supervision of expert doctors, nipple aesthetic surgery can now be easily performed. Particularly, inverted nipples can reach dimensions that hinder breastfeeding after childbirth, making this operation significant.

In cases of inverted nipples, insufficient development of milk ducts can occur, posing a significant problem during breastfeeding. However, medically, nipple size—whether large or small—may not necessarily pose a health issue but can still cause aesthetic discomfort for individuals. Especially when it is visibly prominent through clothing, it can affect social interactions and lead to a loss of self-confidence.

Nipple (Breast Nipple) – Areola: What Is It?

The nipple, also known as the areola, is a structure surrounded by brown-pink tissues. The areola contains approximately 17 milk ducts and helps give your breast a more aesthetic appearance. It has an elastic structure with a protrusion in the center. Additionally, there is muscle tissue beneath the areola, and various stimuli (cold, sexual arousal, fear, water contact) can cause the protrusion on the nipple to contract and harden within a short period.

Causes of Inverted Nipples

Several factors contribute to the formation of inverted nipples. Connective tissues surrounding the nipple facilitate movement. Erect tissue responsible for the growth of this area during situations such as temperature changes, breastfeeding, or touching. However, if the muscle structure here turns into fibrotic tissue, the movement of the nipple is restricted, and it remains inverted inside. This condition leads to the formation of inverted nipples.”


Nipple Size

Excessive nipple size, unlike functional issues, creates unwanted aesthetic appearances. Particularly discomforting for women, large nipple size can also have negative impacts on the opposite sex. Unpleasant visuals during sexual intercourse can lead to a lack of self-esteem and confidence issues for women.

Moreover, excessively large nipples can cause difficulties in clothing. Nipples prominently visible under clothing are quite discomforting for women. Even with thick bras, nipples may still be noticeable, leading to discomfort. However, the solution to this issue is straightforward. Through a quick and easy surgical procedure, nipples can be resized to their normal dimensions, creating a more pleasing appearance. Post-operation, milk ducts remain intact, posing no issues for breastfeeding. Additionally, there is no loss of sensation following the procedure.

Nipple Absence

Nipple absence can occur in some women due to congenital factors, pregnancy, breastfeeding, or various other reasons, often resulting in nipple inversions. In such cases, the nipple is not protruding outward but rather inward. While there may be some improvement in nipple projection and correction through breastfeeding in cases of congenital absence, expecting significant improvement may be unrealistic. Additionally, surgical intervention to bring the nipples outward is particularly recommended for women experiencing breastfeeding difficulties.

For women with absent nipples, the most effective solution is often surgical intervention. During the procedure, a small incision is made around the edge of the nipple. Through this incision, an attempt is made to bring the nipple outward. This way, nipple absence is corrected, and the individual achieves a more typical nipple structure.

Frequently Asked Questions

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  • Who Can Have Nipple Aesthetic Surgery?

    Any woman who has completed adulthood physically and is visually dissatisfied with her nipple can undergo this cosmetic surgery. Additionally, surgical intervention can be performed in cases of certain diseases that cause deformities in nipple shapes.

    – Breast trauma,
    – Breast sagging,
    – Cancer,
    – Damage due to burns or similar traumatic problems,

    Women who are dissatisfied with the appearance of their nipples due to these and similar different problems can safely undergo this operation under the control of a specialist surgeon.

  • How Is Nipple Aesthetic Surgery Performed?

    Nipple aesthetic surgery, performed under local anesthesia, is among the easily performed procedures nowadays. The fundamental principle of the procedure is based on the liberation of the nipples by preventing the rupture or cutting of the milk ducts that pull the nipples inward. To prevent recurrence in the later stages, muscle and fat supplements are applied under the nipple.

    Similarly, operations for nipple enlargement and reduction are also easily addressed. Problems caused by the large size of the rings around the nipples can also be addressed by cutting the rings. Particularly, after breast cancer or in some congenital conditions, there may be issues with the disappearance of the nipples. In such cases, intervention is performed by taking skin from different parts of the body to mimic the nipple.

  • The Healing Process After Nipple Surgery

    After nipple surgery, the patient is discharged on the same day, although depending on the situation, the patient may stay under observation in the hospital for up to a day. Although it is not very common, pain relievers prescribed by the specialist doctor who performed the surgery are used for any postoperative pain. These pain relievers can effectively control the pain. Additionally, any swelling or edema in the nipples usually disappears on its own within a few days.

    Three to four days after the surgery, the bandages on the nipples are removed. Moreover, the patient should wear a sports bra for at least two weeks. After the surgery, the patient can return to normal activities or work within 1-2 days. However, it is important to avoid very heavy sports and strenuous activities for at least one month. Furthermore, there is no loss of sensation in the nipples during the healing process.

    Inverted Nipple (also known as sunken nipple, buried nipple, inverted nipple, sunken nipple, buried nipple)
    An inverted nipple, or also referred to as a sunken or buried nipple, is described as the nipples or parts of them being recessed inward. It can be congenital or occur later due to factors such as pregnancy, breastfeeding, or various reasons. This condition often becomes noticeable during adolescence when the breasts begin to develop. However, this condition can cause aesthetic, functional, and psychological problems. On average, about 2 to 3 out of 100 women face problems with inverted nipples, either unilaterally or bilaterally.

    Women with inverted nipples may experience problems such as the accumulation of secretions from the nipple or insufficient cleaning, leading to infection. Additionally, breastfeeding can also pose some difficulties.

    The main factor in the development of inverted nipples is the inadequate development of the milk ducts. Normally, the milk ducts open to the nipple, but in this condition, the baby cannot latch onto the nipple. This structure, which prevents milk flow, creates unpleasant aesthetics. Women may lose their self-confidence, and they may also experience sexual and psychological problems.

    If nipple inversion has been present since adolescence, it may indicate that the milk ducts have not developed. In such cases, the milk ducts are closed, and fibrous tissues similar to ligaments may replace the milk ducts. It is likely that these tissues have pulled the nipple inward. The underdevelopment of the milk ducts results in the absence of milk flow from these ducts after pregnancy. If no milk flows out when the nipple is compressed with fingers, it is appropriate to suspect such a condition. In these cases, nipple surgery can be performed to bring the nipple out, but the mother cannot breastfeed. Because the milk ducts have not developed from the beginning.

    Surgical procedures are applied for the treatment of inverted nipples. This surgery, performed under local anesthesia, lasts an average of 1 hour. Additionally, treatment for inverted nipples can be performed using different methods. However, the aim in each method is to cut the bands that pull the nipple inward and then place permanent or temporary support underneath. During the procedures, the cut bands are actually milk ducts. If these ducts are not cut, the nipple may invert inward again. Because the inversion of the nipple is caused by the milk ducts pulling the nipple inward. Surgery for inverted nipples is effective in achieving the desired appearance of the breasts aesthetically. Additionally, it helps to eliminate other problems.

  • Treatment of Nipple Retraction

    Treatment for severely inverted nipples is usually sought when there is significant inversion. Mild to moderate cases may not require treatment. For such cases, various methods can be used, including special pumps, massage, stimulation around the nipples, and applying pressure to the brown areas around the nipples using medical devices.

    In cases of severe nipple inversion, surgical procedures are often necessary. The milk ducts, which extend to the nipples and cause them to invert, are the main cause of inversion. Therefore, the milk ducts are cut to eliminate the pulling effect on the nipples. This releases the nipples, allowing them to protrude naturally and eliminating the inversion.

  • The Enlargement and Widening of the Nipple

    The brown area present in the nipple area varies depending on the overall size of the breasts. In individuals with an average breast size, the nipple diameter ranges from 4 to 5 cm. Any increase in breast size results in a corresponding enlargement of this diameter. Large nipple sizes are generally observed in individuals with larger breasts. Surgery performed on the nipples can reduce the size of the breasts to a certain extent, resulting in a proportional reduction in nipple size as well.

    In some cases, however, the nipple diameter may widen without a corresponding increase in breast size. In such instances, procedures are performed specifically on the brown area surrounding the nipple to reduce its size. Following these procedures, there are no visible marks on the breasts, effectively addressing any issues related to breast enlargement and expansion.

    Nipple Reconstruction in Cases of Nipple Absence:
    Nipple absence typically occurs due to breast cancer surgery or Poland syndrome, which can lead to the absence of both the nipple and the surrounding areola tissue. In cases of nipple absence, reconstruction procedures involve the use of various methods, including:

    Medical tattooing: Medical tattooing is often used alone but can also be employed to create an areola appearance around the nipple.

    Skin graft (tissue transfer): Also known as tissue transfer, skin grafting involves the use of tissue taken from the patient’s labia minora to reconstruct the nipple. Additionally, tissue from the groin or abdominal area may be used to create areola tissue around the nipple. Stitches are required at the donor sites during the procedure, which is typically performed under general anesthesia.

    Nipple sharing: In nipple sharing, tissue is taken from the other nipple to reconstruct the absent nipple. However, this method has not been widely used in recent years.

    Local flap: Healthy skin and subcutaneous tissue from the desired area for nipple reconstruction are used to create a new nipple. Techniques such as tattooing or skin grafting are employed to create the areola.

  • Nipple Reduction Surgery

    Nipple reduction surgery is one of the procedures performed for both men and women to address issues related to nipple size. Nipple enlargement can occur in both men and women due to various reasons. Having excessively large nipples can lead to significant difficulties in clothing choices, causing feelings of self-consciousness or psychological issues.

    Nipples can be excessively wide, long, or asymmetrical, and the areola area may also exhibit similar wide or asymmetrical characteristics. For breasts with such issues, nipple reduction surgery is performed under local anesthesia. During this procedure, absorbable sutures are used, and the patient can typically return to their daily activities within a short period, usually within a week.

  • Patients with Inverted Nipples: What Should They Pay Attention to?

    Patients with inverted nipples should first investigate the cause of the inversion. Women with this condition due to childbirth can breastfeed their babies comfortably with appropriate methods after pregnancy. However, during breastfeeding, babies may sometimes suck on the brown area around the nipple. Therefore, it is important to maintain hygiene during breastfeeding to avoid conditions such as infection.

  • Does Scarring Remain After Nipple Surgery?

    After nipple surgery, small scars may develop around the nipple area. However, these scars typically fade over time and blend into the surrounding brown ring, becoming nearly invisible.