Do you inverted nipples get fixed during breast augmentation?

Question

I have inverted nipples and I hate it. Is that something to get done first?

Jose Telich, MD · Answer

Dear Esmii thank you for your question. 
Breast augmentation and inverted nipple correction can be done in a single setting. Usually breast implants are placed first and the nipples are corrected at the end of surgery.

Albert Ko, MD · Answer

Hi there, thanks for your question. Breast augmentation pushed everything outwards so you will likely find that your nipples are naturally corrected with augmentation. I would reccomened consulting with your surgeon to discuss how to best fix this. Thanks

Semih Yildiz, MD, FEPOBRAS · Answer

Breast augmentation by itself does not reliably correct inverted nipples. A very mild inversion may look a little better after an implant because the breast is fuller and the tissues are under more outward tension, but true nipple inversion usually needs a separate nipple release procedure.

Whether it should be done before, during, or after breast augmentation depends on how severe the inversion is, whether it is one-sided or both sides, your plans for breastfeeding, and the incision choice for the augmentation. Some correction techniques can affect milk ducts or nipple sensation, and there is also a recurrence risk. If the inversion is new, one-sided, or associated with discharge, a lump, or skin changes, it should be evaluated before cosmetic surgery. For long-standing inverted nipples, an in-person exam with your plastic surgeon can determine whether correction can safely be combined with your augmentation.

Gianfranco Frojo, MD · Answer

I recommend getting a breast augmentation and then a nipple piercing 6 months later to help with the inverted nipples. This usually is rather consistently the solution.

Daniel Barrett, MD · Answer

Dear Esmii,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get repair of inverted nipples at the same time as BA. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

providing that surgeon does not use perioral incision (around portion of areola), inverted nipples may be repaired in the same time with breast augmentation. In same cases, however, inverted nipples repair may need use of local flaps; plastic surgeon should be able to decide whether that can be compromised with breast augmentation. It is very unlikely that breast implants alone will fix inverted nipples. Hope this helps.

Farbod Esmailian, MD · Answer

In certain cases, I have seen that breast implants can fix the inverted nipples. This is usually in very mild cases. These are cases where the nipple will protrude when erect or in cold climate. In the more severe cases where even with manual manipulation, the patient is unable to bring the nipple out, then it is very unlikely that breast augmentation surgery will fix the inversion.

In the severe cases, both procedure can be done at the same time, otherwise inverted nipple surgery can be done under local anesthesia in the office setting.

Hope that helps.

In the severe cases, both procedure can be done at the same time, otherwise inverted nipple surgery can be done under local anesthesia in the office setting.

Hope that helps.

John Michael Thomassen, MD · Answer

A breast augmentation will generally not fix this.  An additional procedure can be done to correct this involving excising skin around the inverted nipple and by closing this the nipple is pushed out.

Mark McRae, MD · Answer

Yes inverted nipple correction can be performed at the time of breast augmentation.Inverted nipples are not usually a sign of a medical concern other than issues with breast feeding particularly if they have always been that way. A nipple that inverts over time should be investigated with imaging to ensure there are no growths or masses associated with prior to correction.You can also have the inverted nipple correction under local anaesthesia as a minor procedure separately from your breast augmentation procedure.
Best regards

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Nipple inversion can be treated at the same time as a breast augmentation and adds little time to the procedure.  Talk to your surgeon about your options.

Do you inverted nipples get fixed during breast augmentation?

Answers (17)

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