{"id":1125,"date":"2021-05-05T18:10:46","date_gmt":"2021-05-05T18:10:46","guid":{"rendered":"https:\/\/www.drlucasplasticsurgery.ch\/mamelon-invagine\/"},"modified":"2025-01-15T11:29:45","modified_gmt":"2025-01-15T11:29:45","slug":"inverted-nipples","status":"publish","type":"page","link":"https:\/\/www.drlucasplasticsurgery.ch\/en\/inverted-nipples\/","title":{"rendered":"Inverted nipples"},"content":{"rendered":"<p>The reason for this malformation is found in the milk ducts, when they are too short or curl up on themselves. This congenital malformation is sometimes a source of difficulty for women who wish to breastfeed their babies. The baby may not be able to suckle. This malformation can be corrected by surgery.<\/p>\n<h3>Technique:<\/h3>\n<p>Under local anesthesia but in sterile conditions in the operating room, micro-incision of a few millimeters on the side of the nipple, then section of the galactophorous ducts which are retracted. A bursa is made to tighten the base of the nipple with absorbable thread. This technique has a low risk of recurrence, but in principle allows the patient to breastfeed.<br \/>\nFor patients who no longer wish to breastfeed, a double de-epidermized flap or cartilage graft technique can be used to decrease the risk of recurrence.<\/p>\n<h3>Results:<\/h3>\n<p><b>Time to final results:<\/b> immediate<br \/>\n<b>Longevity of results: <\/b>definitive<\/p>\n<h3>Before surgery:<\/h3>\n<p>Stop smoking 1 month before (essential, because risk of significant nipple necrosis for smokers.<br \/>\nDo not take Aspirin 10 days before surgery, inform Dr Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc..) to arrange for its discontinuation or replacement.<\/p>\n<h3>Intervention:<\/h3>\n<p><b>Pain:<\/b> pain during the procedure will be almost non-existent, with an adapted anesthesia<br \/>\n<b>Duration of the procedure:<\/b> 45 minutes<br \/>\n<b>Anesthesia:<\/b> local<br \/>\n<b>Location: <\/b>operating room<br \/>\n<b>Ambulatory (without hospitalization)<\/b><\/p>\n<h3>After the operation:<\/h3>\n<p><b>Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<br \/>\n<b>Social eviction:<\/b> 24-48 hours of swelling<br \/>\n<b>Suture removal:<\/b> no sutures, surgical glue: shower possible from day 2.<br \/>\n<b>Return to work:<\/b> immediate<br \/>\n<b>Return to sport:<\/b> 10 days<\/p>\n<h3>Instructions:<\/h3>\n<p>Disinfection with Merfen disinfection for 7 days.<br \/>\nPreventive antibiotic therapy: Augmentin 1 g twice a day for 3 days.<br \/>\nStop tobacco one month after surgery to prevent complications (nipple necrosis).<br \/>\nShower from day 2: for 10 days do not rub the nipple, dry with clean cloth and dab.<br \/>\nCheck-up by Dr Lucas 2 days, 1 week, 3 weeks, 3 months<\/p>\n<h3>Complications:<\/h3>\n<p>&#8211; Infection, hematoma<br \/>\n&#8211; Nipple necrosis: very frequent in smokers<br \/>\n&#8211; Recurrence: the malformation may return within 3 months after surgery, due to unpredictable abnormal healing of the milk ducts<br \/>\n&#8211; Alteration of sensitivity: normal for 1 week. Otherwise, sensitivity usually returns in the first few months.<br \/>\n&#8211; Breastfeeding: 20% of patients will not be able to breastfeed, due to unpredictable abnormal healing of the milk ducts<\/p>\n<h3>Alternatives and operations that can be combined:<\/h3>\n<p>Nipple augmentation can be combined with breast augmentation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The reason for this malformation is found in the milk ducts, when they are too short or curl up on themselves. This congenital malformation is sometimes a source of difficulty for women who wish to breastfeed their babies. The baby may not be able to suckle. This malformation can be corrected by surgery. Technique: Under [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":865,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1125","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/comments?post=1125"}],"version-history":[{"count":0,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1125\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media\/865"}],"wp:attachment":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media?parent=1125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}