Deformities, which can develop in areola and nipple, also bring with aesthetic, functional and psychological problems.
The tip of the breast into which milk ducts open is called “nipple” and the pink-brown circle around the nipple is called “areola”. The large size of the areola or nipple can often affect women psychologically and cause sexual problems. On the other hand, the fact that the nipple is inverted affects women psychologically and they suffer from unhappiness in sexual life as well as breastfeeding problems after pregnancy. Aesthetic intervention depends on the areola and nipple deformity.
A thin layer of muscle is located just below the nipple and the muscles contract in response to different stimuli (erotic, cold, stress, fear, contact, etc.), the nipple comes forward and becomes noticeable. Some women can have inverted nipple because their milk ducts are structurally short or their muscle around the nipple is wide.
Inverted nipple is often recognized in the adolescence period when the breasts start to develop. Besides, the nipple may be inverted, embedded at different rates due to post-breastfeeding, breast trauma, breast ptosis, excessive weight loss, breast cancer, infections and inflammatory diseases of the breast tissue. It also brings with aesthetic, functional and psychological problems. This problem is available as unilateral or bilateral in 2-3 of 100 women. It leads to the accumulation of the secretions at the nipple and difficulty in cleaning, which brings with the possibility of the frequent infection. Moreover, they can have difficulty in breastfeeding. As the milk ducts are opened to the nipple, the inverted nipple makes it difficult for the baby to take the nipple and prevents milk flow.
Inverted nipple has 3 different degrees. The nipple comes forward when the areola is compressed in the mild form. The nipple comes forward harder and quickly inverts back in the medium form. The nipple does not come forward even if it is forced and remains inverted in the advanced form.
Inverted nipple is surgically treated. The common feature of all surgical procedures is to cut the bonds which pull the nipple into and place a temporary or permanent support under the nipple. Operations can be summarized in two categories: techniques revoking milk ducts and those protecting them. Any method that milk ducts have been cut during a surgical operation is not recommended to the patients planning to lactate and having this operation to be able to breastfeed. However, the nipple may be inverted back in time even if it is taken out in the procedures in which the milk ducts are protected. Such a situation cannot be seen in the operations performed through cutting the milk ducts.
The surgery is done with local anesthesia (regional anesthesia) and lasts about 1 hour. You do not have to stay in the hospital and you can get back to work the next day.
The large size of the nipples is a condition that distorts aesthetic appearance rather than creating a functional problem. Most women with large nipples are seriously distressed by the fact that their nipples are noticeable under the clothing they wear on them. No matter how thick the bra or breast pads are used, the nipples can still be recognized from the outside.
It is possible to resolve this problem with a simple intervention to the nipple. The milk ducts are protected during the operation; it does not cause any problem in breastfeeding; the normal sense of the nipple is maintained; there is no loss of sense and a natural appearance is obtained. The nipple having natural appearance and the desired size can be obtained. The surgery is done with local anesthesia (regional anesthesia) and lasts about 30 minutes. You do not have to stay in the hospital and you can get back to work the next day.
Areola is a round and brown region around the nipple. As women’s breasts are especially growing during their pregnancy, the diameter of the areola begins to expand. The expansion of the areola is proportional to the growth of the breast. The average diameter of the areola is normally accepted as 5 cm. However, an enlarged areola can reach 10-12 cm in diameter. This situation, which is completely problematic in terms of appearance, can be corrected simply by reducing the diameter of the areola. The skin of the remaining part outside the diameter of the areola (accepted as 5 cm) can be narrowed by removing it in the form of a circle. This surgery, which does not affect the normal life of the patient in any way, heals by leaving a mild, circle-form scar around the areola
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