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
"Phenomenal experience from consultation to post-op. Dr. Dauwe did a thorough job explaining the procedure in great detail, discussing my different options and the outcomes, and really made feel comfortable with my decision. His work is absolutely beautiful, and he is a true artist. You can tell Dr. Dauwe really goes the extra mile for his patients, and has a caring bedside manner. Julie- his cosmetic coordinator, is simply amazing. She checked on me several times before and after the procedure, and was always there to answer questions. Highly recommend! One of the best decisions I've ever made! I'm very grateful."- D.K. / Google / Oct 13, 2020
"It finally happened!!! - After many years of thinking about getting a breast augmentation, I finally took the leap! My surgery was today with Dr. Dauwe in Dallas, Tx!! I am feeling excited and nervous, but I wouldn't have done it without all the reviews and support on here! I plan on documenting my journey in hopes it will help someone else! :)"- T. / RealSelf / Oct 09, 2020
"I cannot say enough wonderful things about Dr. Dauwe and his staff! Sara and Julie are so sweet and do a fantastic job preparing patients for their surgery day. Catherine Kinney called me the night before to make sure I was prepared for anesthesia. Her voice was so calming and she really made me feel at ease for my upcoming procedure. The morning of my surgery, I was greeted with many friendly smiles, including Karen and CRNA Kinney. Before my procedure, Dr. Dauwe came in and measured and marked me up. He once again went over his plan for my procedure and what I could expect after surgery. I had my breast implants removed with a lift. The most surprising thing to me was that HE CALLED THURSDAY EVENING TO CHECK ON ME!! I thought that was so thoughtful of him. After five days, I can honestly say my results are above and beyond what I ever expected. Dr. Dauwe did a wonderful job! I’ve had minimal pain and my breasts are looking great! He is very knowledgeable in his field, he is professional and kind. I highly recommend him for any plastic surgery needs!"- S.R. / Google / Oct 07, 2020
"Dr. Dauwe and His team are Phenomenal!!! - Tummy Tuck with LipoI had an extremely long journey to Dr. Dauwe, but I'm so thankful that I found him! I couldn't figure out the source of my GI problems after seeing MULTIPLE specialists, GI doctor, Colorectal Surgeon, multiple diagnostic tests with no answers. I have known Julie for years, and thankfully after talking with her one day she suggested I come see Dr. Dauwe. One look at my abdomen, he said "has anyone told you that you have a pretty significant umbilical hernia?" I had no idea, but Dr. Dauwe was able to figure out the source of my problems and knew how to get it corrected. We decided that a Tummy Tuck due to Diastasis Recti and lipo because why not, along with a hernia repair would fix my problem, and he was right!! I had surgery 7/17/20 and my problems are GONE! I also have an amazing looking tummy again! My recovery was way easier than I had imagined! I took 2 weeks off work and enjoyed having time to relax. I had pain, but it was controlled pretty easily. During my recovery some concerns arose, Dr. Dauwe called and talked to me numerous times, I even bothered him while he was on vacation. He's an amazing surgeon, but he's also a caring, fun person to talk to. He will make you feel completely comfortable. Plus his office manager, Julie, is the sweetest person you will ever meet! I love Dr. Dauwe, Julie ad the whole team and Lemmon Avenue Plastic Surgery Center. I can't wait for my next procedure!!"- J. / RealSelf / Sep 30, 2020
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.