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Are Reconstructed Nipples Always Hard?

When a nipple is reconstructed after mastectomy, will it always have the hard look? Ie, will they always look like they're "nippin' out"?

Doctor Answers (4)

Nipple reconstruction

+2

Early after reconstruction, the new nipples may be firm, but overtimne they usually soften up ands even shrink a bit.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Hard nipples after breast reconstruction

+2

Following mastectomy, breast reconstruction will usually replace the mound or shape of the breast but not the nipple.  There are several options for reconstructing nipples.  Some use bone or cartilage grafts to maintain projection of the nipple.  However, firmness of the nipple reconstruction is the trade off.  Fortunately, there are other techniques available to create projection without the use of firm graft material.  These techniques typically involve using special patterns carved out from the reconstructed breast skin.

Pasadena Plastic Surgeon
5.0 out of 5 stars 1 review

Breast reconstruction, nipple reconstruction, breast cancer, DCIS, mastectomy

+1

Reconstructed nipples using tissue from a DIEP flap is often more prominent.  They are larger but hardness is a different quality that is not common.  Over time all of the nipple reconstructions lose projection.  Implant based reconstructions typically result in a less prominent nipple.

Austin Plastic Surgeon
5.0 out of 5 stars 3 reviews

Nipple reconstruction after mastectomy

+1

Not all reconstructed nipples will have projection (a hard look).  It depends on how the reconstruction is performed, and also how the breast is reconstructed.  In my experience, nipples will be flatter after reconstruction using implants than your own tissue (a flap).  I have also found that a skate flap gives more projection than a C-V flap.  I hope this helps!

New York Plastic Surgeon
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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