Overview
Inverted nipples, oversized areolas, or asymmetric nipple projection are common concerns that patients are often reluctant to bring up. These are among the simplest procedures Dr. Fern performs — with local anesthesia in most cases, minimal downtime, and consistently high satisfaction. Correction of nipple inversion and areola reduction can be performed as standalone procedures or at the time of breast augmentation or lift.
Are You a Good Candidate?
Ideal candidates for nipple & areola correction typically present with one or more of the following:
- Inverted nipple (grade I, II, or III) causing aesthetic or functional concern
- Areolas that are disproportionately large relative to the breast
- Areola asymmetry following prior breast surgery
- Puffy or hypertrophic areola
The Procedure
Dr. Fern's approach to nipple & areola correction proceeds through the following steps:
- Grade of inversion assessed to determine extent of duct release required
- Small incision at nipple base; constricting ducts released under local anesthesia
- Areola reduction via periareolar excision; circumareolar closure with permanent purse-string suture
Recovery
Return to work the following day in most cases. Light exercise at 1 week. Breastfeeding ability may be compromised after nipple inversion correction (duct release) and should be discussed if future nursing is a priority.
Frequently Asked Questions
Will nipple correction affect breastfeeding?
Inversion correction requires releasing constricting ducts. This may compromise breastfeeding in some patients, particularly with higher-grade inversions. If nursing is a future priority, surgery should be delayed.