The operation is performed under local anaesthetic as an out-patient procedure.
20 mins per side
3-4 small incisions are made at the base of the nipple through which the scarred milk ducts are cut. The resulting scars will hardly be visible.
The wounds are usually closed with absorbable stitches, however often a temporary retaining suture is placed at the base of the nipple and left in for approximately 3 weeks.
The dressings can usually be left intact until your first follow-up appointment and can be covered up for showering.
The retaining sutures will need to be removed after 3-4 weeks.
Every-day activities are usually possible immediately after surgery.
Regular follow-up appointments with your surgeon will be scheduled at 1 week, 6 weeks and 3 months after surgery.
As with every surgical procedure correction of inverted nipples is associated with both anaesthetic and surgical risks. Preexisting conditions such as Diabetes, obesity, heart and blood vessel diseases, immune diseases and smoking significantly increase the risk of complications.
The most common surgical complications after correction of inverted nipples include:
- postoperative bleeding, hematoma
- decreased or altered sensation of the nipple
- asymmetry (size, shape)
Rare complications of correction of inverted nipples include
- necrosis of the nipple
Do I need to stop my own medication prior to surgery?
Most medication can be continued normally. Some drugs such as blood thinners (e.g. Aspirin or Warfarin/Marcoumar) can increase the risk of postoperative bleeding and may need to be stopped or replaced before the procedure. We ask you to bring a complete list of all your medication and their dosages to your first consultation.
Does my GP need to perform or organize any special tests before surgery?
Usually not. The surgical team including the anaesthetist will need to be aware of any preexisting conditions (especially cardiovascular or lung diseases) which may be associated with an increased anaesthetic risk. We ask you to provide as much detailed information on your past medical history as possible when you come for your preoperative consultation so we can coordinate any necessary tests with your GP.
How long before I can go back to work after surgery?
Most activities can be resumed immediately after surgery. However strenuous activities involving the upper body, especially associated with intense sweating should be avoided for 1-2 weeks after surgery.
Will I get a sick certificate for the time I am off work?
If your health insurance is covering the procedure you can be issued a sick certificate.
If the procedure is purely aesthetic you will have to take leave of absence from work for the surgery and recovery period.
Will my health insurance cover the costs for the surgery?
Sometimes. Written confirmation of approval to cover the costs by your insurer will need to be obtained by your doctor prior to the procedure.
Will my health insurance cover the costs of treatment if I develop any complications requiring medical treatment, hospitalization or even further surgery?
Yes, provided the complication is purely medical, e.g. an infection. Corrections of aesthetic complications (e.g. unsatisfactory shape, size etc. ) are not covered.