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I had inverted nipples my entire life. Both sides,...

I had inverted nipples my entire life. Both sides, Grade 2 (maybe a 3 on right side). I am 51 years old, post menopausal. I decided to have breast augmentation due to some age related "deflation" and some sagging and wanted to take care of my nipples as well. The doctor who performed the breast augmentation advised me to do these surgeries at different times to prevent a potential infection of the implants through the milk ducts, as that might lead to capsular contraction. I agreed and went ahead with my augmentation in November 2015. I had 375ml round, smooth, moderate profile silicone implants with subfascial placement both sides. My surgery was a little easier then I thought, I was recovering very well, I was back at work 4 days later for light duties. My implant moved into it's current place in 6-7 weeks, more or less. Incision healed well, with some scarring that is slowly fading. The scar is only visible if I lay on my back, it is well hidden in the crease. My Surgeon, Dr. Lauffer did a great job!
The only problem with this surgery was that my nipple sensitivity changed. They were still inverted at that point, but they did not feel too comfortable to touch them and were not giving me a sexual arousal feeling when they were stimulated. Over time after the surgery the feeling became more comfortable, but lacking the sexual/sensual feeling. 3 month after the augmentation surgery, it was time to deal with the nipples. First I talked to Dr. Laufer and discussed his surgical approach. It was a traditional one that would have left a small scar on the areolas. Next, I had a consultation with another surgeon, who was recommending a more extensive surgery with more cutting and more scars, I thought. Then I met Dr. Temmen. From the beginning, she was very nice, soft spoken, offering a less invasive approach with a small cut at the base of the nipple, then cutting the fibrous bends that are holding the nipple inverted, then close the space with sutures and then suture the nipple in place. All this will heal with less visible scarring. You would have to meet Dr. Temmen to appreciate how gentle a surgeon she is! So I decided to have her do my nipple operation. She did it with local anesthesia, the injections were uncomfortable, but bearable. Again she has very gentle hands and took great care to reduce the discomfort. Post op pain was moderate at night when the local cleared out, not bad enough for narcotic pain killers, so I took Advil or Tylenol for a few days, can't remember which one exactly. The most annoying thing about the recovery was a foam "donut" that I had to wear for weeks under my bra. It was to protect and to provide an undisturbed environment for the nipples to heal. The sutures were left in place for 4 weeks. After the surgery I had some seeping discharge for about 2-3 days, so I used Xeroform Gauze Patch under my donut until the discharge was gone. Of course my post op nipples were huge at the beginning, I went from nothing to cherry sized and hard ones. Once the swelling was gone in a week or so, they became very natural looking and beautiful according to my husband. It is a little more then 4 months now that the surgery was done, both of my nipples are still out, so I hope that is where they will stay forever. My nipple sensation still not as sensual as they were before the augmentation, but I hope with time they can relearn some of it with some practice. I think this was a procedure that improved my self image, my hubby loves them and I would definitely recommend it to women in my situation.

Provider Review

Board Certified Plastic Surgeon
3314 Henderson Blvd. #201, Tampa, Florida
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