Scottsdale Nipple Surgery doctors

James Nachbar, MD James Nachbar, MD
Scottsdale Plastic Surgeon
8896 East Becker Lane Suite 102 , Scottsdale
4 answers
Remus Repta, MD Remus Repta, MD
Phoenix Plastic Surgeon
9250 N 3rd Street Suite 1003, Phoenix
1 answer
Lawrence Shaw, MD Lawrence Shaw, MD
Scottsdale Plastic Surgeon
8913 E. Bell Rd Suite 201, Scottsdale
1 answer
Steven Turkeltaub, MD Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
10290 N 92nd St Suite 207, Scottsdale
1 answer
Geoffrey E. Leber, MD Geoffrey E. Leber, MD
Paradise Valley Plastic Surgeon
5410 N. Scottsdale Road Suite D-500 , Paradise Valley

Recent Answers

What Procedure Will Change the Size and Shape of my Nipples with Minimal Scars? (photo)

I am 24years old, 115lbs, 5'7", I have had 3 children and recently gotten a breast aumentation. I have silicone implants above the muscle. I love the size and shape of them but I hate my nipples. They are oblong and just terrible looking. Therefore I would like to know if there is a procedure that can fix the appearance of my nipple with minimal scarring? I am especially concerned about nipple surgery with my implants above the muscle, should I be?

A: Avoid surgery / No scars

Your areolas appear to be oblong due to asymmetric contraction. This may be temporary especially if your subglandular breast augmentation was fairly recent.  Overall you have an very nice result and the resultant scars from a areolar reduction will most likely bother you more, especially if they become raised or widened.  There is also no guarantee that it will correct the original contraction problem and it could possibly lead to areolas of different sizes. There is a saying in plastic surgery:  Better is the enemy of good.

Lawrence Shaw, MD
Scottsdale Plastic Surgeon
Areola Reduction Problem - Leaking from Stitch Site

Thank you for the answer. Continuing with case (www.realself.com/question/aerola-reduction-surgery-problems). I have further comments. There wasn't a suture sewed around the areola. The surgeon used only stitches on the wound which were not dissolved by my body and my body made them hard, so the surgeon removed the previous scars by cutting it (the undissolved stitches) and redid the areola on the surface. After that 2nd "fixing" my boobs won't stop leaking. How could this be fixed now?

A: Wound drainage following surgery

Hello,

You are describing wound drainage following surgery.  There are a number of potential causes for this including seroma, infection, suture abscess, among others.  If there is no redness and just drainage there may be a seroma.  Have your plastic surgeon take a close look at you to determine if a drain or antibiotics are needed.

All the best,

Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon
To What Extent Can my Areolas be Reduced?

I have very large areolas. My right areola is slightly larger, although my breasts are approximately the same size. I'm 23, 5'2'', weigh 120 lbs, never been pregnant and don't intend to in the next several years. I am interested in getting just an areola reduction (no other procedures) and I would like them to be reduced as much as is possible without any serious risks of side effects. How intricate would such a procedure be and what is the maximum size reduction I can expect?

A: Surgery to reduce the areolar diameter

You can definitely have surgery to reduce the diameter of the areola.  The main risks are the aesthetic ones: how much improvement will you get, will the areola stretch out again, and how bad will the scars be.

The obvious solution is the circumareolar mastopexy, often called the donut mastopexy.  The main problem with this procedure is that it can be difficult to keep the areola from stretching out again, and it does not provide as much improvement in the extra skin of the breast as the more extensive mastopexies.  However, it does allow less extensive scars, and is less likely to disrupt the breast tissue and breast feeding in the future.

For a circumareolar mastopexy, your surgeon will usually place a special permanent suture around the areola to reduce the chance of it stretching out again, but that does not always work, and if it breaks at some point in the future (usually on one side), one of the areolae could wind up being a lot bigger than the other.

James Nachbar, MD
Scottsdale Plastic Surgeon
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