Nipple/Areolar Surgery

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You may find the following resources helpful in preparing for your nipple/areolar surgery.

An important part of the aesthetic appearance of the breasts is the size and shape of the nipples and areolas. What most people refer to as the nipple actually has two distinct components: the nipple and the areola. The nipple typically protrudes and is surrounded by the areola - the darker, flat circle of skin.

Common problems with the nipples and areolas include inverted nipples, excessively large and projected nipples, overly large areolas, or protruding or "puffy" areolas. When a woman is unhappy with the appearance of her nipples or areolas, it can cause embarrassment and self-consciousness. As a widely recognized breast surgery specialist, Dr. Robert Cohen offers the latest approaches to nipple/areolar surgery at his Phoenix and Scottsdale area practice.

Request a cosmetic consultation with Dr. Cohen and find out why women from throughout the country come to him.

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When it comes to breast enhancement in Phoenix or Scottsdale, most people tend to think of breast augmentation with implants, breast reduction or breast lift. These are clearly the most commonly performed breast procedures, but for many women, breast enhancement is not complete without surgery to correct irregularities of the nipples or areolas. I perform nipple/areolar correction either as a unique procedure or in combination with another breast surgery.

Nipple Surgery

Inverted nipples, or nipples that point inward, are a source of discomfort and embarrassment for many women. This condition can range in severity from mild to severe and can affect one or both nipples. There are several causes of this condition, and I can correct all of them using specialized surgical techniques. I make very precise incisions, carefully divide whatever is drawing the nipple inward, and (when possible) try to leave the functional milk ducts intact, in some cases preserving the ability to breastfeed. The recovery from this procedure is relatively straightforward, but will vary depending on whether or not it is combined with another surgery.

For some patients, the nipples are excessively large or droopy. For these patients I can perform a nipple reduction surgery by removing excess skin and bulk at the base of the nipples and using sutures to telescope the nipples inward into the areola. This creates a normal appearing nipple without affecting the nipple tip, milk ducts, or nerves to the nipple.

Areolar Surgery

Many women are self-conscious about the size of their areolas. Typically, women with larger breasts will have larger areolas, and both concerns can be addressed with a breast reduction or breast lift. However, in women who are happy with their breast size but want smaller areolas, I perform areolar reduction as its own procedure. This involves a precise incision along the border of the areola, and the removal of a small circle (donut) of areolar skin. The final scar is simply a circle around the edge of the areola, and the areola is not detached for this surgery.

The procedure for correcting "puffy" or swollen looking areolas is similar to the areolar reduction. I reduce the areola's overall size and tighten it up to minimize underlying breast tissue from bulging through.

There are numerous other concerns that may cause women to feel insecure about her nipples and areolas such as irregular scars from prior surgery or unevenly shaped areolas. All of these can be improved on their own or at the time of another breast procedure. I am committed to helping each woman achieve her best possible breast appearance, and these smaller refinements can often significantly enhance the final aesthetic results.

Call our office at (480) 423-1973 to learn why Dr. Robert Cohen has become synonymous with excellent breast surgery results.

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