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
"Dr. Dauwe is the best plastic surgeon! I’m thrilled with my results and the entire process was fantastic. Dr. Dauwe took the time to explain my procedure and his staff was incredibly kind and patient. Recovery was much easier than I anticipated and I can’t get over how much I love my results."- K.L. / Google / Feb 25, 2023
"The staff at Dauwe Plastic Surgery could not be more welcoming and helpful! I enjoy every second of my experience every single time I’m there! Not to mention how amazing my results always are both with surgery and filler / botox. Can’t recommend them enough!"- L.C. / Google / Feb 14, 2023
"* I wanted to do an update for my tummy tuck with Dr. Dauwe. I am about 1.5 years post op. I am still the same weight maybe even a few pounds heavier. I am still so in love with my results. I am adding two new photos one is at 1 year PO and second is my before. First photo is 7 weeks PO. *original post: I have nothing but positive things to say! I did a lot of research on TT and thought Dr. Dauwe’s drainless technique was the best route to go for healing and recovery. I traveled from out of state to see him. His office staff were very communicative especially Julie thank you to her for all her help with scheduling ect. I had my TT July 1st and recovery has been smooth and I’m back to working out and running already."- L.C. / Google / Feb 11, 2023
"I just recently had a tummy tuck performed by Dr. Dauwe and it was amazing the care and attention I was given. It made me feel secure and happy that I chose him as my surgeon. The office is also amazing and the ladies who work there that I have met and talked to have been nothing but amazing. The person that I have talk to the most has been Julie, and she is amazing and has answered all my questions and concern very quickly and has been so helpful. If you are considering Dr. Dauwe for any medical procedure, I highly highly highly recommend him and his staff. I already feel so much more confident, even though I am still super swollen. Thank you guys!"- T.D. / Google / Jan 21, 2023
What are the Benefits of Areola Reconstruction?
No matter the reasons why you find yourself needing nipple reconstruction, here at Dauwe Plastic Surgery, we offer our patients a number of benefits to look forward to with this procedure, including:
- Potential for realistic results following mastectomy or cosmetic breast procedures
- High success rates that provide a degree of confidence when making the decision
- Optimized results from the overall breast enhancement surgery journey
- Three-dimensional nipples that emulate the appearance of natural, untouched nipples
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.