Plastic surgery has been successfully changing the aesthetic parameters of female breasts for a long time. Nipple enlargement is one of the ways to correct natural features. Small nipple size can only be considered a serious problem if it interferes with breastfeeding. Otherwise, such a deviation is not at all anomalous. There are a number of ways that allow you to increase the size of your nipples without resorting to surgery.
Important! A small nipple is a physiological feature and does not relate to pathologies.
Indications for testing
Before listing all types of operations on nipples and areolas, you should find out the reasons for correction:
- If the nipples are located asymmetrically due to age-related changes, a consequence of any operation or from birth.
- The contour of the nipples is uneven.
- The nipples are too thick.
- For some reason, the areolas began to stretch to one side.
- Nipples protrude too much; For girls, the problem is often that their nipples are too long; men are concerned about the bulge of the areola itself.
- Nipples are too elongated.
- If the nipples are too large and make breastfeeding difficult.
- If the nipple-areolar complex is damaged due to injury or as a consequence of surgery.
Syringe
Some use the classic version with a breast pump.
I do not recommend this technique, as it can deform the shape of the breast itself, which will further worsen the aesthetic component. Therefore, it is better to pull out the nipples so that they stand using such a simple tool as a syringe.
On the side where the needle is usually inserted, the edge is cut off. To avoid tissue damage due to an uneven cut, you need to pull out the piston and then insert it from the opposite side. For the desired effect, the diameter of the cylinder must match the size of the nipple.
To stretch, you need to get the effect of slight discomfort. When removing the syringe, the pressure should be released slightly. To do this, the piston moves in the opposite direction. Then the nipple will come out easily. The homemade product should also be kept clean. To do this, streams of hot water are used.
Contraindications
It is also necessary to highlight contraindications due to which any operations on the nipples and areolas are contraindicated:
- If you are breastfeeding or stopped breastfeeding less than six months ago.
- If you have decompensated diabetes mellitus.
- Presence of cancer.
- With exacerbation of chronic diseases, as well as liver or kidney failure.
- Any acute diseases (including infectious ones).
- Large or multiple cysts, any compactions, that is, any benign changes in the mammary glands.
- If blood clotting is impaired.
- Mental problems.
- Presence of a tendency to form keloid scars.
- The patient is under 18 years of age.
- Pregnancy.
Chest pads
Another way to make nipples stand up is to use molding devices, which are breast pads.
They are already starting to be used if the effect does not work very well with regular exercise. Breast cups are not difficult to find on sale. In almost any regular pharmacy or store for expectant mothers, you can purchase such an original product at first glance. They are often recommended for women who have developed cracks during breastfeeding, that is, they are initially used for slightly different purposes.
Externally, the devices are discs with a slightly elongated shape. Manufactured from soft material that is safe for operational processes. In the center of the structure there is a hole into which the nipple is placed. Gradually, with use, it will begin to take the required shape.
When purchasing, you need to pay attention to the diameter of the hole. Some of the products are designed to reduce sensitivity during breastfeeding, so they are quite large. But for pulling they will be much smaller.
It is important to ensure that the nipples are erect, you should not wear the device all day.
They will also require care. They need to be washed. If a rash appears, you will have to discard them.
Types of operations
Inverted nipple
To begin with, it is worth considering an option in which the patency of the milk ducts is maintained. This operation is considered quite complex, since it requires a microscope. It is needed in order to remove the connective tissue that retracts the nipple, but without damaging the milk ducts.
1 method of operation:
- Local anesthesia is first applied to the nipple area, after which an incision is made in the areola area.
- This incision cuts through the connective tissue fibers that pull the nipple down.
- After these steps, the appearance of the nipple is restored and sutures are applied (you can find out more about what the sutures are and how long they take to heal here).
If you do not plan on further breastfeeding, then you can resort to the second option of surgery for an inverted nipple, since in this case the milk ducts are disrupted.
2nd method of operation:
- After local anesthesia has been administered, the nipple is pulled out.
- The nipple is cut.
- In the lower area of the nipple, the mammary gland separates, which pulls it down.
- To prevent the nipple from returning to its original position, the tissue is secured.
- Restores the appearance of the nipples.
- Stitches are applied.
Decrease
With this type of operation, further breastfeeding is impossible. Let's look at two ways :
- In the first method , the upper part of the nipple is removed and the remaining part is sutured.
- In the second case , the entire nipple is removed, and its upper part is sewn in place. If we consider thickness correction, then in this case a third is removed, the edges are brought together and a suture is applied.
Plastic surgery for gynecomastia
Gynecomastia is an enlargement of the mammary glands in men, which can be formed due to fatty, connective or glandular tissue. It is because of such nuances that the patient must undergo an examination before the operation, which the doctor will prescribe for him.
The optimal method is liposuction, which is performed using an incision on the chest. However, it is worth noting that its area is much larger than the area of the mammary glands. What explains this?
If you remove exclusively the tissue itself (connective, fatty or glandular), then after the operation there is a high probability of the formation of a depression at this place.
Along with liposuction, mastopexy is also performed . They resort to it if there is too much excess skin of the mammary glands. As well as removing part of the pigmented skin of the areola to reduce the area of the nipple-areolar complex.
Plastic form
This plastic surgery is often performed in addition to any other. Areola correction involves completely different changes: correction of shape, size, position.
The operation is performed under intravenous anesthesia or local anesthesia with sedation. The total duration of the process takes on average no more than an hour.
Process:
- To begin, two circular cuts are made. The first is located at the border of the areola and the skin on the chest. The second one is done in the place that corresponds to the diameter of the new areola.
- Next, the skin between the first and second incisions is removed.
- When placing sutures, special care is taken to ensure that the areola does not end up bunching up. This can be avoided if the edges of the wound are sutured with different stitches at a great distance from each other. In this case, there are only 4-6 of them.
The scar from the operation is located along the edge of the areola.
This type of correction does not involve affecting the milk ducts, so further breastfeeding is possible.
Mastopexy
This involves reducing the areola due to incisions along its perimeter. This operation is mainly performed to return the drooping nipple to its original place .
Diameter increase
Most likely, this refers more to a cosmetic procedure, which is similar to permanent makeup, rather than to a full-fledged plastic surgery. The full name of this procedure is areola micropigmentation. They mainly resort to this method for several reasons:
- Increase the sexual impact on your other half by making your nipples more expressive.
- Compare pigmentation on areolas that have previously undergone plastic surgery.
- If a girl has previously resorted to breast surgery and has a slight asymmetry, then this option will help hide it.
Areola micropigmentation is performed under local anesthesia, and you will be able to fully evaluate the final result only after a month and a half.
Types of pathology. Symptoms
Conventionally, there are two types of this deviation:
- in the first case, the nipple, although hidden, becomes visible under a certain influence;
- the second type is characterized by complete and constant retraction of the nipple.
Based on certain signs, you can identify the presence of pathology yourself. The deviation itself is more accurately qualified by a number of symptoms. They can be divided into three groups:
- Hiding. Outwardly, such nipples look retracted, but under mechanical or thermal influence they stretch.
In this case, the nipple hardens and rises above the areola. In general, this type of pathology does not require surgical intervention. In most cases, this form does not interfere with breastfeeding. Correction may be required only for aesthetic purposes. - Loosely inverted. With this type, much more effort is required to make the nipple rise above the breast.
Longer stimulation is required. However, immediately after its completion, he is pulled back. In such a situation, problems may arise when breastfeeding the baby. - Densely inverted. This species is rare, however, it brings a number of not only aesthetic problems to its owner.
When the nipple is fully retracted, stimulation and temperature do not help push it out. If a woman is planning a child in the future and is going to feed him breast milk, she should take care to eliminate this problem in advance.
Progress of the operation
If we consider the options for anesthesia that can be given to you, then it all depends on the operation itself. So, with a simple correction of the nipple and areola, you can get by with local anesthesia .
In this case, after the procedure is completed, you can immediately go about your business. When intravenous anesthesia is used, then you should be under the supervision of a doctor in the hospital for another day. But such operations themselves do not take long, on average 40-60 minutes.
If the operation is more serious and is performed simultaneously with another, then in this case only intravenous or inhalation anesthesia is used. The process will last about two hours, and you should remain under observation for at least a day.
Result and consequences
The recovery process itself does not last long, on average 10-14 days . This is how long you should wait to fully appreciate the result.
During the recovery period itself, sutures and postoperative wounds must be regularly treated with antiseptic solutions.
List of restrictions that should be observed during the postoperative recovery period:
- Wear exclusively comfortable underwear that will support your breasts (read about the nuances of wearing compression underwear after mammoplasty here).
- You should not sleep on your stomach, massage your chest, and you should not specifically touch the area where the operation was performed.
- Do not wet the seams under any circumstances.
- Do not take water procedures that involve heating.
Proofreaders
The device is designed to pull out flat nipples.
They are convenient because they can be used under clothing, and not just at home. Visually they resemble linings, the work of which is based on creating a vacuum inside special cavities. To ensure a tight fit, gel is applied to the nipple.
The corrector has a valve in its design. a syringe is attached to it, which is responsible for creating a vacuum. When the pulling effect appears, the syringe is disconnected. It is important that sudden movements do not injure the chest.
You can remove the device by lightly pressing the valve. If the vacuum system is broken, the corrector falls off the breast. This also needs to be remembered.
At the initial stages, make sure that by the end of the training the nipples are standing, correctors are worn for no more than 2 hours a day. Then the exposure time is increased. It gradually increases to 8 hours a day.
This unit is quite powerful. Results can be seen after a few weeks. At the same time, it is very convenient due to the ability to hide under clothing using special chest pads.
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Photos before and after
Below you can see the photos before and after the operation:
Complications
If you experience at least one of the listed complications, you should immediately consult a doctor.
Read more about how to understand that breast surgery was unsuccessful and what to do, and from this article you will learn what capsular contracture is after mammoplasty, its causes, symptoms, treatment.
Hematomas
They often form in places where incisions were made and on the skin of the mammary glands. You should consult a doctor if the pain does not disappear for a long time . If they do not last long and without associated consequences (bruises, changes in the shape of the mammary glands), then you should not worry.
We talked about whether swelling after mammoplasty is dangerous, when it will go away and what to do to reduce it quickly.
Suppuration
If purulent discharge or a crust appears at the site of the sutures, then in such cases antibiotics and antiseptics are prescribed.
Impaired sensitivity
There is no need to worry, as this problem will disappear on its own within 2-3 months after the operation.
Many clinics offer breast shape correction services. To protect yourself from undesirable consequences, read our articles about what reduction and augmentation mammoplasty is, when a breast lift is performed and how the procedure is performed, as well as how long rehabilitation after surgery lasts.
Prices
The cost of devices and surgery to correct pathology may vary in different regions. The table shows average indicators.
| Means and methods | Average price (in rubles) |
| Breast pump | 3 000 |
| Vacuum attachment for nipple shape correction | 700 |
| Breastfeeding attachment | 300 |
| Surgery | 57 000 |
