Our Nipple Reduction Surgery
Many times I see patients in my aesthetic surgery practice that desire some type of breast surgery, be it an augmentation, lift or combination. Some of these women also have either enlarged (hypertrophied) or elongated nipples. Some are second to breast feeding, others are purely genetic (inherited). After breast augmentation these nipples can become very prominent indeed. In fact many of these women will have to continue using the padded bras they were hoping to throw out.
This past September I presented a paper on a type of nipple reduction surgery that I perform at the annual meeting of the Texas Society of Plastic Surgeons. I was grateful that it was warmly received. Historically virtually every description of nipple reduction techniques ALL closed off the breast. The operations all severed the milk ducts and closed them off. The technique I devised is much more physiologic, leaves the ducts open and they heal beautifully. In all the cases I have performed I have had no complications. The wound heals in about 5-7 days, is not painful and is easily performed at the time of the other breast surgery. In fact it can also be done under local anesthesia in someone that just wants the nipple reduction. None of these patients have had decreased nipple sensation.
I have recently been invited to present this same paper, now with more patients enrolled, at the annual meeting of the International Society of Aesthetic Plastic Surgery this August in San Francisco.
Here are some pre and post op pictures: