Plastic Surgery 101

Nipple reduction surgery can be done

Q. I had my breast implants done several years ago and then I had a child. I did breast feed for approximately six months. I like to wear shirts without a bra and I have noticed that my nipples appear to be much longer than they used to be. I am uncomfortable wearing shirts without bras now. Is there anything I can do?

A. There is a procedure that is called a nipple reduction. This procedure should be done by a plastic surgeon who has a vast experience with breast surgery. The procedure can be done alone or with other breast procedures. Nipple reduction can be done with local anesthesia, intra venus sedation or general anesthesia.

This a relatively simple procedure but must be done correctly. The nipple is stripped of the epithelium (skin) around the base of the nipple. It is important that this be done correctly so that no cysts develop after your procedure. After stripping the skin, the nipple is then gently pushed into the breast and the new location of the nipple will be where the skin was removed. Because the skin of the nipple heals so well, there generally are no scars. The sensitivity of the nipple is retained because the nerve endings are not affected. Sutures that are used are generally absorbed and do not need to be removed.

Nipple reduction is a very satisfying procedure for both the doctor and the patient. Recovery is usually uneventful. You can resume your South Beach lifestyle in approximate two to three weeks.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at:

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