Does the Nipple get Removed During Nipple Surgery?

Does the whole nipple get removed during nipple surgery? That is kind of crazy if the whole thing is removed. How would the nipple be able to put back on without any type of scaring? I do not want to end up with long term scaring if the procedure is not perfectly done.

JazzyD0

F, 31, New York

Tags:woman age 25-34 nipples scarring removal

Hi Jazzy,

Where in the world did you hear that? Someone told you a tale or was pulling your leg. "Nipple" surgery is not the same as breast surgery. There are only a few procedures done on the nipple alone, e.g. correction of inverted nipples, nipple or areola reduction. All of these leave scars on the nipple/areola area. Cosmetic breast surgery involves one of three procedures: augmentation, reduction, lift. Augmentation only leaves a scar on the nipple/areola if an implant is inserted through that area. This not a popular approach for several reasons, one of which is the scar. Another is that there is greater likelihood of losing sensitivity in the nipple/areola. Nearly all breast reductions and lifts leave, at a minimum, a scar around the margin of the areolae but this is necessary to re-position the nipple/areolae on the new breast. The scar is usually very fine and a more than fair trade for the improved aesthetic appearance of the new breast. Usually, sensitivity is preserved as well. The only time the nipple/areola are removed is when performing breast reduction on patients with massively large breasts. In these cases, the circulation to the nipple/areola is unreliable and it is safer to remove the nipple/areola at the start then put it back on as a graft at the end of the operation. This is nearly 100% successful but the down side is that sensitivity and nipple projection and response (to cold, touch, etc.) will be lost. In patients with darkly pigmented nipple/areolae pigment may be lost as well but this can be corrected with tattooing. So, unless your breasts are huge and you are seeking a reduction, you do not have to fear that your nipple/areolae will be removed!

Sincerely,

R. Bosshardt

In some more rare situations, then nipple and areola are removed and then replaced.  However, in most situations, the nipple and areola are not removed.  They are left attached so that they can retain as much function as possible.  Talk to your PS about your particular situation so you know what is in store.  Best of luck!

Hi JazzyDO:


There is no reason to remove the areola and the nipple during any breast surgery except in limited cases for massive breast reduction.


Dr. Ken Stein