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As mentioned by other authors, inverted nipples can be corrected in the office nicely by division of the ducts. However, many patients who have breast augmentation find that the inverted nipples are secondarily corrected by the augmentation alone, as an added bonus, with no other procedure. So if the patient is planning augmentation anyway, I suggest that the augmentation is done first (which may be enough). If it doesn't come out, then the inverted nipple correction is done in the office, under local anesthesia.
Inverted nipples can cause functional and body image problems for women. An inverted nipple can look flat or a slit like depression or hole at the normal nipple location. There are different degrees of inverted nipples possible. Usually correction of the inverted nipples involve division of the lactiferous (milk ducts). Risks of the procedure include potential loss of sensation, inability to breast-feed, recurrence of the inversion and the potential need for further surgery. When the time is right, seek consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients achieve the outcomes you will be pleased with. I hope this, and the attached link, helps.
You have grade 2 nipple inversion. This could be successfully treated even under local though most of my patients prefer to have a little IV sedation. You would need to wear protective bandages for a week and additional protective cushions for another month. Cost is probably in the $2000-3000 range.
Our office specializes in nipple reduction procedures and inverted nipple surgery. Most forms of correction are surgical and help to restore the nipple to full projection. Best, DR. Karamanoukian Los Angeles
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