Nipple Procedures

Are you concerned with the size, shape, or placement of your nipples?

Nipple Reduction

Some women are self-conscious about their nipples when they are too prominent. It can be impossible to go without a bra and some women will experience irriration and chaffing of their nipples even when wearing a bra. The reduction of very prominent nipples can be performed while retaining sensation with a simple office procedure at the Lindsay House and be performed under local anesthesia. The results are very predictable and the scars are virtually undetectable.

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William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

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Areola Reduction

When the areola is prominent it can be unattractive and some patients need a reduction of the areola. This can be part of a mastopexy operation, breast augmentation or a breast reduction or can be done as a separate procedure. As a separate procedure it can be done in the office under local anesthesia. Scars are usually good but are detectable around the circumference of the nipple.

Inverted Nipple Repair

Inverted nipples are a lot more common than people realize. Approximately 10-20% of women, and many men, have inverted or flat nipples. Inverted nipples go inward, or lay flat against the chest, instead of protruding outwards.

An inverted nipple is caused by tissue in the breast that is attached tightly to the inside of the nipple skin. This pulls it inward toward the inside of the chest. The force of tight, shortened milk ducts can be greater than the muscle in the nipple that pulls it outwards, causing the inversion.

Nipples can be inverted from birth or invert later in life. Nipple inversion is often times genetic and exists at birth or happens during puberty as the breasts develop. If it's not genetic, inversion can happen due to constricted milk ducts, scarring of the milk ducts due to breastfeeding, or a lack of skin at the base of the nipple.

It is important to note that if you have never had inverted nipples before and they change, this can be a cause for concern and should be mentioned to your doctor. Unfortunately, new nipple inversion can indicate breast cancer so it is best to speak to your healthcare provider to ensure that is not the case.

In order to correct inverted nipples, a minor procedure is usually necessary. This is done in the office under local anesthesia and takes less than an hour. Two stitches are placed underneath the nipple to create a pad for it to sit on and remain outward.

A local anesthetic is used during inverted nipple correction and there may be slight discomfort when that wears off. However, discomfort usually does not last longer than a week. Patients are able to return to work after the procedure but are asked to avoid exercise and strenuous activity that would cause rubbing against the nipple area for about a week.

Since the milk ducts are divided or lengthened during the inverted nipple procedure, breastfeeding will not be possible afterwards. This is something that you need to consider prior to the procedure and perhaps decide to have your nipples corrected after breastfeeding is complete.

If you are interested in a consultation with Dr. Koenig about a nipple or areola procedure, please call our office at (585) 244-1000.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

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The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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