I've had top surgery years ago and the aureola was placed in a good position but was laid out flat, with no raised nipple/papilla bump.
October 21, 2017
Answer: FTM top surgery hello samsmithsr Nipple Augmentation
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October 21, 2017
Answer: FTM top surgery hello samsmithsr Nipple Augmentation
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Answer: Post FTM chest surgery, what are the options now to achieve a raised nipple? Dermal or cartilage grafting beneath your existing grafted areola can create a small papilla, though the vast majority of my F-M transmen have not requested this. I usually try to leave a slightly greater amount of papilla dermis on my skin graft centers to give some protrusion, though trying for too much leaves a higher potential for losing this part of the skin graft, as the tissue has to survive by osmotic imbibition for the first few days, and composite grafts have a higher dead tissue rate.Secondarily grafting bits of dermis or cartilage can provide the protrusion you desire, as long as you are not hoping for too much! Best wishes! Dr. Tholen
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Answer: Post FTM chest surgery, what are the options now to achieve a raised nipple? Dermal or cartilage grafting beneath your existing grafted areola can create a small papilla, though the vast majority of my F-M transmen have not requested this. I usually try to leave a slightly greater amount of papilla dermis on my skin graft centers to give some protrusion, though trying for too much leaves a higher potential for losing this part of the skin graft, as the tissue has to survive by osmotic imbibition for the first few days, and composite grafts have a higher dead tissue rate.Secondarily grafting bits of dermis or cartilage can provide the protrusion you desire, as long as you are not hoping for too much! Best wishes! Dr. Tholen
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Answer: Nipple Projection Hi,Thanks for the post. It is not unusual to at least some projection of the nipple after free grafting. Options to increase projection are fillers, grafts (either dermal, fat, cartilage). Flaps tend not to work because the areola is a free graft as well. Another option is 3D tattooing which gives the look of a nipple without the actual three dimensionality.Sincerely,Dr. Dadvand
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Answer: Nipple Projection Hi,Thanks for the post. It is not unusual to at least some projection of the nipple after free grafting. Options to increase projection are fillers, grafts (either dermal, fat, cartilage). Flaps tend not to work because the areola is a free graft as well. Another option is 3D tattooing which gives the look of a nipple without the actual three dimensionality.Sincerely,Dr. Dadvand
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September 11, 2017
Answer: Want raised nipples Thanks for the question. A photo would help with this, but there are many options out there. One would be some fat transfer, where you liposuction fat from somewhere and inject some under the areola to prop it up. The actual nipple could be augmented with fat, filler, or even cartilage depending on how much you wanted. The nipple loses its ability to firm up and get erect after a free nipple graft so that function will likely never come back. Talk with your surgeon to see what their recommendation is. Good Luck"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
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September 11, 2017
Answer: Want raised nipples Thanks for the question. A photo would help with this, but there are many options out there. One would be some fat transfer, where you liposuction fat from somewhere and inject some under the areola to prop it up. The actual nipple could be augmented with fat, filler, or even cartilage depending on how much you wanted. The nipple loses its ability to firm up and get erect after a free nipple graft so that function will likely never come back. Talk with your surgeon to see what their recommendation is. Good Luck"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
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August 16, 2017
Answer: Post FTM chest surgery, what are the options now to achieve a raised nipple? There are a few options available that may help you obtain projection of your nipples following FTM breast surgery with free nipple grafts. These include using dermal fillers, cartilage grafts, fat injections, 3D tattooing (gives the effect without true 3 dimensionality) and flap techniques.Steven Turkeltaub, MDScottsdale, AZ
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August 16, 2017
Answer: Post FTM chest surgery, what are the options now to achieve a raised nipple? There are a few options available that may help you obtain projection of your nipples following FTM breast surgery with free nipple grafts. These include using dermal fillers, cartilage grafts, fat injections, 3D tattooing (gives the effect without true 3 dimensionality) and flap techniques.Steven Turkeltaub, MDScottsdale, AZ
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