Nipple inversion and enlargement as well as accessory breasts can cause functional and aesthetic issues. These can be readily addressed with minor surgery.
Nipple inversion can cause difficulties with breast feeding. Other patients desire correction as they dislike the appearance. Nipple hypertrophy or enlargement is another condition that causes discomfort and embarrassment with clothes wearing, hence the patient may request for surgery.
A few methods have been described, depending of the severity of the inversion. The basic principle is release or stretching of the fibrous bands or shortened milk ducts that cause the tethering. This is performed using mini-incisions. A purse-string suture can then be used to tighten the base of the nipple and provide support. In some cases, local tissue flaps or dermal grafts may be inserted beneath the nipple to prevent recurrence.
Many techniques are available, depending on the size and shape of the nipple. Many techniques are available, depending on the size and shape of the nipple. The excess tissue can be removed, reducing the height and diameter. The sensation and breast ducts can be preserved where possible. The goals are preservation of sensation and the breast ducts (for breast feeding), wherever possible.
Recovery is generally fast with little downtime. Healing usually occurs within 1-2 weeks after surgery.
Accessory breasts can range from small, inconspicuous lumps to fully developed breast tissue. Sometimes, there may be an overlying accessory nipple and areola. The size of the accessory breast can vary between both sides.
Some individuals can experience:
