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<p>Your first consultation with a surgeon should clearly set out your expectations and the likely outcome of any procedure that you undertake. Make sure that your surgeon gives you all the information that you require so that you are sure that they can carry out the procedure to improve your nipple size or shape in the way that you want. </p> <p>A medical history should also be taken to make sure that there are no reasons why you shouldn’t have an operation. You would normally be asked to sign a consent form, which means that you have understood the potential benefits and risks associated with breast nipple surgery.</p> <p>Photographs may also be taken by the practitioner, as a “before and after” comparison at a later date.</p> <p>The surgeon may wish to write to your GP giving details of the operation so that if there are any problems associated with surgery in the short- or long-term, the GP is aware of the procedure and can help you recover. </p> <p><strong>Anaesthesia </strong></p> <p>Breast nipple procedures are normally performed using a local anaesthetic to numb the breast tissue. You would also usually be given a sedative to make you drowsy, so that you remain awake but feel very little discomfort during the operation.</p> <p><strong>The operation</strong> </p> <p>There are two procedures used in women which may take around 1 or 2 hours to perform:</p> <h5>Inverted nipple correction with partial preservation of milk ducts (in women): </h5> <p>An incision will be made just around the base of the nipple on the areola. The nipple and areola tissue is lifted from (but still connected to) the breast and stitched into a new, projecting shape. This makes the nipple stick out more. As the scar is in the shape of a circle, the tighter skin around the nipple will actually cause the nipple to stick out more as the skin will now "pull" a little. Medicated gauze is then applied to the stitched area.</p> <br /> <h5>Inverted nipple correction with detached milk ducts: </h5> <p>This procedure is much more common and may be necessary in more difficult cases but it does not preserve the milk ducts fully. An incision is made at the nipple base, and the shortened milk ducts are detached. This allows the nipple to stick out naturally. The incision is then cleaned, stitched and medicated gauze is applied to the wound.</p>
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