About Areola Reconstruction
The shape and projection of the nipple have both cosmetic and functional effects on the breast. The nipple can vary in size, shape, and projection, which leads to a variety of procedures that Dallas, TX plastic surgeon Dr. Phillip Dauwe is pleased to offer his patients. Phillip Dauwe, M.D. Plastic Surgery provides areola restoration, nipple reduction, and nipple inversion correction surgery to service the diverse needs of our patients. Call our Dallas, TX office today to learn how nipple repair surgery can benefit you and give you the appearance and function you desire.
Types of Areola Repair
Nipple enlargement or nipple hypertrophy can be caused by genetics, puberty, or breastfeeding. Nipple reduction surgery is performed to reduce the size and projection of elongated nipples for a more symmetrical shape. It can also correct nipples that appear too wide.
It is estimated that about 10% of women have at least one inverted nipple. There are varying degrees of this condition, as some inverted nipples can be reversible with stimulation while others cannot. The most common causes of inverted nipples are short ducts and tethering bands of tissue that pull the nipple inward. Cosmetic surgery helps correct these issues.
In some cases, the areola is naturally disproportionate to the nipple or can become too wide or stretched after breastfeeding, hormone changes, or weight fluctuation. The areola can even develop raised bumps called Montgomery glands. Areolar reduction surgery reduces the size of the areola to complement the size and shape of the breast and nipple.
"Dr. Dauwe and his staff are like a dream team! I legit leave wanting to be friends with his staff they are all so adorable. Seriously though, any type of surgery is so scary and they make the experience so comfortable. I felt like he listened to what I wanted and was honest with what was going to be realistic with my body type. I was referred by Dr.Dauwe by a few of my clients and am so thankful I chose him to do my procedure. If you’re in the Dallas area I wouldn’t recommend anyone else. Truly grateful to have had such an amazing experience! Thank you Dr. Dauwe for everything!"- T.C. / Google / Apr 30, 2019
"To say I am happy is an understatement. I cannot express thankful I am to have met Dr. Dauwe. He has completely changed my life. I came to see him for a breast reduction and before I left I knew this was where I needed to be! His staff, Julie and Sara, are the sweetest girls and made this process so simple for me. They both answered all of my questions, no matter how many times I called! From start to finish, they are there the entire way. I recommend him to everyone I know. If you're looking for any type of aesthetic surgery, GO SEE DR. DAUWE! You will not be disappointed. He is simply the best."- B.C. / Google / May 21, 2021
"I had a breast reduction with Dr. Dauwe and I can honestly say it was the best decision I ever made! Dr. Dauwe and his staff made this process so easy and delightful for me. Julie and Staff were incredibly kind and answered all of my questions. They made me feel comfortable from start to finish. As soon as you walk in to his office you feel like family. I have recommended Dr. Dauwe to anyone and everyone I know. I could not have been happier with my results, my recovery, or the experience. The best doctor EVER! You will not be disappointed."- L.F. / Google / May 20, 2021
"If you're looking for a surgeon for breast reduction, you can stop here: Dr. Dauwe is the best - I am floored at how my breast reduction with Dr. Dauwe has transformed my confidence. I used to never want to be in photos, could never find clothes that fit me, never felt pretty in anything or good about myself at all really. It was a big decision to have surgery, especially at a young age, but I don't regret it for a second!I also can't say enough about how amazing he and his team (Julie, Sara, and Bre) have been during this entire process- I don't have a single complaint. Any time I had a question or concern about anything, they were on it. My results are exactly what I wanted- honestly I could have gotten half of what I got and still would have been thrilled. With all my heart, thank you Dr. Dauwe and your wonderful team!"- A. / RealSelf / May 20, 2021
"The results are beyond what I expected - Coming in HOT with another 5 star review! I recently had a full mommy makeover by Dr. Dauwe and I don't think I can even put into words my gratitude for him and his team. Hands down THE BEST surgeon in Dallas. From my tummy tuck, to some lipo and a breast reduction/lift - 2 weeks post opp, I look amazing! The results are beyond what I expected!! The entire team is extremely kind & helpful anytime you need them. If you are reading this post and have questions about my experience, find me on IG because I will rant and rave your ears off until you go see him! Dr. Dauwe, I truly thank you for changing my life!!"- S. / RealSelf / May 12, 2021
Am I A Good Candidate For Nipple Reconstruction?
You are a great candidate for nipple correction surgery if you are in overall good health, are a nonsmoker, are past childbearing, and at a stable weight. Typically, candidates desire to address the following:
- Elongated or stretched nipples
- Overly wide nipples
- Inverted nipples
- Reduce the size of the areola
- Correct the projection of the nipple
- Improve the overall shape and size of the nipple
Areola Reconstruction Surgical Technique
A nipple reduction surgery is used to address elongated or wide nipples. Dr. Dauwe's approach allows for scarring to be strategically hidden along the natural curves of the nipple and areola. A cylinder of skin is removed from around the base of the nipple and then sutured to close the two sides together. A wide nipple is treated by removing a wedge of tissue to create a more proportionate appearance. The nerves and milk ducts are generally not affected.
Nipple inversion surgery is a simple procedure that can be performed in the office without the need for general anesthesia. Dr. Dauwe will use a long-acting numbing agent to ease any discomfort. The nipple is pulled out to its full length, and a tiny incision is placed along the underside of the nipple. The thick retracted tissue bands are cut one at a time with great care to avoid cutting the milk ducts. The incision is then closed and dressed, and a splint is worn for a few days postoperatively. Nipple inversion surgery usually takes less than one hour.
Dr. Dauwe will begin by removing a portion of the circular area (the outer edge) of the areola. This delicate excision process removes excess tissue so that the areola will have a smaller size. The remaining healthy skin is then brought in and tightened to surround the newly created edge and secured with sutures. The stitches are placed just inside the areola margin to help hide scarring and maintain the reduced size as your skin heals.
What to Expect for a Areola Reconstruction Procedure
Nipple reduction and inversion surgery are considered outpatient procedures. Many patients can return to normal activities and drive themselves home afterward with little to no discomfort. Typically, you can return to work the following day. Dr. Dauwe will provide a nipple protector bandage that should be worn under the bra for two weeks to aid in proper healing. Optimal results may take several months as the nipples settle into their new position over time.
The recovery for an areola reduction is a bit more extensive. Although the procedure is relatively simple, you should take it easy for the first few weeks to enable optimal healing. Strenuous exercise should also be avoided during this time to help in the recovery process. After about 7 – 10 days, a follow-up appointment will be scheduled so Dr. Dauwe can check on your progress. Final results will occur in the months that follow.
Areola Reconstruction Frequently Asked Questions
How much does a nipple repair cost?
The cost of a nipple repair surgery will depend on the type of correction performed, your unique condition, and if it’s being combined with another cosmetic procedure. The exact cost of your surgery can be discussed with Dr. Dauwe during your initial consult.
Can I still breastfeed after a nipple correction surgery?
It is recommended that women complete childbearing prior to any nipple surgery as as it could interfere with breastfeeding. However, inverted nipples can interfere with breastfeeding, so Dr. Dauwe commonly corrects the inversion to enable proper breastfeeding function. During a nipple reduction or inversion surgery, the milk ducts are spared so the patient will still be able to breastfeed afterward. While it is uncommon, it is important to understand that breastfeeding may no longer be possible for some patients after this type of surgery.
Will I lose sensation of the nipple after a nipple reduction?
The important sensory nerves are generally deeper than the required incisions for the surgery. Therefore, physical sensation is typically spared after a nipple reduction.
Can I have a nipple repair at the same time as a breast lift or breast augmentation?
Yes. A nipple repair is commonly performed in conjunction with other cosmetic breast surgeries. A nipple reduction or inversion can also be done solely in the office without the need for anesthesia.
Can men have nipple correction surgery?
Yes. Nipple surgeries, including areola reduction, are quite common for men, as well as women. Gynecomastia is the technical term for what we commonly call "man boobs," and can be corrected by Dr. Dauwe. In many cases, gynecomastia can cause a man to have enlarged areolas, which can be addressed with cosmetic surgery.
Plan Your Procedure
- Recovery Time
- 1 – 2 Weeks
- Average Procedure Time
- 1 – 2 Hours
- Post-op Follow-up
- Week 2 & 6, Month 3, 6, & 12
- Procedure Recovery Location
Improve your bust
Do you feel self-conscious about the look of your nipples? You deserve to look as good as you feel. Call Phillip Dauwe, M.D. Plastic Surgery in the greater DFW area to discover how a nipple correction surgery can dramatically improve your aesthetic appearance and function. Dr. Dauwe can sit down with you to discuss your concerns and goals to create a personalized treatment plan.