The model removed her nipples in order to freely publish nudes on Instagram. But the operation took place only in Photoshop

Indications for correction

Indications for nipple and areola reduction:
• asymmetry of nipples, areolas;
• uneven contour of the nipple-areolar complex;
• large nipple size, large areola diameter.

Reasons for an increase in the size of the nipple and areola: congenital features, pregnancy and breastfeeding, or age-related changes in the mammary glands. The problem can bother a woman both in terms of breast aesthetics and everyday inconveniences (for example, excessive friction of the nipple on clothing). A hypertrophied nipple often makes breastfeeding difficult.

Surgery to reduce the nipples and areola can be performed as a separate surgical correction, or in addition to reduction, augmentation mammoplasty, during breast mastopexy.

Chelsea Handler

Chelsea Handler often reminds her Instagram followers of the double standard when it comes to male and female nipples. In 2014, the comedian and actress posted a provocative photo of herself riding a horse with the caption, “Whatever a man can do, a woman can do better.” It's no surprise that Instagram removed the image.

Since then, she often talks about these dubious rules on social networks. In December, she posted a topless video and photo, covering her nipples with her hands and joking that she was following the rules of decency.

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Surgical technique for areola and nipple reduction

If the operation to reduce nipples and areola is performed as a separate surgical correction (without breast reduction, lifting, endoprosthetics), local anesthesia is used. Reduction of the areola and nipples lasts no more than 30 minutes, and the recovery of patients is quite easy. In some cases, the operation can be performed under intravenous anesthesia.

Before the operation, the surgeon applies markings to the operated area, which are consistent with the patient. During an operation to reduce the areola of the breast, the surgeon removes excess pigmented skin while preserving the natural round shape. Usually, after correction, the diameter of the areola is 4-5 cm. The scar after surgery to reduce the areola remains in the form of a thin white line, and after six months it becomes indistinguishable. If the areola is very enlarged, the surgeon may make an additional, small vertical incision towards the inframammary fold.

Nipple reduction is most often performed by excision of part of its pedicle. In rare cases, an additional wedge resection (in the upper part of the nipple) is performed. However, such correction may damage the milk ducts, so it is carried out according to strict indications.

Types of extra nipples

There are different types of extra nipples. They are classified depending on specific features, such as shape, size and fabric composition:

• Category 1 (known as polymastia): The extra nipple has an areola;
• Category 2: The secondary nipple does not have an areola, but breast tissue is present under the nipple;
• Category 3: breast tissue is present, but the nipple itself is not actually formed;
• Category 4: breast tissue is present, but neither the nipple nor the areola is present;
• Category 5: nipple and areola are present, but fatty tissue is visible under the nipple;
• Category 6 (known as polythelia): presence of a nipple but no areola or breast tissue underneath.

Rehabilitation after nipple and areola reduction

In the first few days after surgery, there may be a slight burning sensation in the area of ​​the nipple-areolar complex. The patient can optionally take an analgesic that suits him. Sutures are removed 7-10 days after nipple and areola reduction surgery. During the recovery period (about two weeks), it is recommended to wear a soft bra: this will help avoid unnecessary pressure on the operated area and reduce irritation. Temporary loss of nipple sensitivity is possible. Nipple reduction (before and after surgery) is clearly shown in the photo: the result six months after the operation.

The price for nipple and areola reduction (the entire nipple-areolar complex) in our clinic is 40,000 - 45,000 rubles. Local anesthesia is not included in the cost of the operation and is paid additionally (5000 rubles). The average price for areola and nipple reduction in Moscow is 55,00 rubles.

Cost of areola and nipple correction

Nipple shape correction

• Contour plastic
• Mesotherapy
• Botox
• Plasmolifting
• SPRS therapy
• Laennec
• Kurasen

• Non-surgical intimate plastic surgery
• Nipple surgery
• Nipple shape correction

Correction of the shape of the nipples is usually required for women who have given birth. During lactation, the breasts undergo serious changes. In addition to stretch marks on the mammary glands, darkening of the nipple, enlargement of the areola, and excessive bulge are noted. These cosmetic defects cause physical and psychological discomfort. Some anatomical pathologies are also a common reason for surgery. Flat shape, asymmetry, uneven contours are problems that plastic can solve. It should be noted that both young girls and older women whose breasts have become deformed with age consult a doctor.

Surgical intervention

The operation of nipple plastic surgery is not particularly complicated. Previously, the woman undergoes all standard procedures - blood tests, urine tests, blood clotting tests, tests for HIV, hepatitis. For several days, it is not recommended to take anti-inflammatory drugs (aspirin, cough tablets), or eat too fatty, spicy or salty foods. No other special arrangements are required.

The surgical procedure for correcting the shape of the nipples lasts about 20-40 minutes. It is performed under general or local anesthesia. To increase the size of the nipple, a small incision is made, then the milk ducts are released, so the nipple straightens and becomes more convex. To reduce the areola, the surgeon makes a circular incision and removes the excess part. Using this technique, the size of the nipple can be reduced to 4-4.5 cm. In many cases, operations are performed in conjunction with breast augmentation or reduction or breast lift. At the end of the manipulations, self-absorbing sutures are applied. In the first days there is swelling and sometimes bruising. After a week, when the stitches are no longer visible, you can evaluate the result.

Contour plastic

Many women who require such manipulation are afraid to undergo it because they are afraid of the consequences associated with surgical intervention. However, today there is a new non-surgical method that uses contour plastic surgery. Thus, injections of hyaluronic acid have recently been used to enlarge the nipple. It is considered a natural component, found in the skin and joint fluid. When penetrating inside, this substance is quickly and evenly distributed. Due to its high biocompatibility with tissues, it does not cause serious complications.

The procedure is carried out using thin needles; no prior anesthesia is required, which is also an advantage over surgery. For a woman, the manipulations are painless, only minor discomfort is possible. The rehabilitation period lasts several days, subsequently there are no scars left on the nipple, the ducts of the mammary gland are not damaged, so during lactation the woman will not experience pain or discomfort.

Correction of the shape of the nipples is best done in reliable, trusted medical centers. The patient must undergo a preliminary examination to exclude all contraindications. Our clinic employs only experienced, highly qualified specialists who will give you the necessary recommendations before and after the procedure. We also perform non-surgical intimate plastic surgery using safe injections.

REHABILITATION AFTER BREAST RECONSTRUCTION SURGERY

The first days after reconstruction will have to be spent in a hospital under the supervision of doctors - our clinic offers patients 14 comfortable rooms. The stitches will be removed in two weeks. For about six months after breast reconstruction, you need to wear a special bra or bandage. If drainage has been installed, you will have to take care of the system and measure the amount of fluid released. Since painful sensations are observed at first, the doctor may prescribe painkillers.

After the procedure, you should avoid heavy lifting, physical activity, and intimate contact for 4-6 weeks. It is advisable to delegate most of the household chores to your loved ones. Swelling and hematomas will persist for about 8 weeks after reconstruction, so it will not be possible to immediately assess the aesthetic result of the operation. Visiting a bathhouse, sauna, swimming pool, or hot countries is excluded (this opportunity will appear 3 months after the operation or later). At the frequency prescribed by the doctor, the woman will need to undergo follow-up examinations, as well as mammographic examinations.

Clothing during the recovery period should be comfortable - not squeezing the mammary glands and the site where the flap is taken. It is advisable that the blouse or blouse have a fastener (buttons, zipper). The doctor usually recommends breast reconstruction with massages in case of implant installation. If autologous tissue was used in the reconstruction, then physiotherapeutic methods are prescribed to overcome the muscle weakness of the donor site.

BREAST RECONSTRUCTION USING AUTOLOGIC TISSUE

An operation to restore the chest muscles can be performed using the patient’s tissue - a flap is taken from the back, abdomen, buttocks. In some cases, reconstruction is limited to using only the skin, fat layer, and blood vessels - the muscle is not affected, which reduces trauma.

Thoracodorsal technology involves the use of a flap from the back. Since the fat layer in this area is usually not very developed, an implant can be used to add volume.

How is the operation performed? The formed flap is transplanted to the site of the removed breast through a tunnel under the skin. Blood vessels are preserved to the maximum. The operation ends with the formation of the mammary gland and suturing. This method is suitable for women with small breasts. The muscular function of the back is not damaged, but the scar remains (slight disproportion of the back may appear).

If the bulk of adipose tissue is concentrated in the abdominal region, a flap is taken from the rectus abdominis muscle and then moved through a tunnel to the transplantation site. Additionally, an implant can be used during reconstruction. If a vessel has to be cut during surgery, it is sutured to the flap using microsurgical equipment. The TRAM Flap method is accompanied by abdominoplasty and reconstruction of the navel (displacement occurs when the material is taken).

The abdominal flap is transferred using the DIEP FLAP method. Unlike the previous reconstruction method, the material contains only skin, adipose tissue, and blood vessels. This reduces the trauma of the operation and avoids abdominal muscle weakness. Due to the need to suture all vessels, reconstruction and restoration of breast elasticity takes about five hours.

S-GAP and I-GAP are used if the bulk of adipose tissue is concentrated on the buttocks. A flap taken from the upper or lower part of the buttocks is used. Skin, fat, and blood vessels are transplanted, but the muscles are not affected. Since surgeons have to completely restore the vessels, the duration of the operation can reach 10-12 hours. To balance the proportions, liposuction of the second buttock is usually performed. The advantage of S-GAP and I-GAP reconstruction is the possibility of repeat surgery if the graft does not take root. When using other recovery methods, this is not possible.

Complications of the operation include pain and the formation of a rough scar at the site where the material was taken. If the surgeon is insufficiently qualified, tissue rejection (necrosis) is possible. That is why it is so important to contact a trustworthy medical institution. The clinic has professional technical equipment. There are comfortable rooms with 24-hour medical care.

Nipple plastic surgery, as well as changing the shape, size and contour of the areola

Indications for surgery

• Inverted nipples
• Long nipples
• Asymmetrical areolas
• The size and/or shape of the areolas that do not suit the patient

Contraindications for surgery

• Underage
• Breastfeeding period
• Incomplete lactation process
• Mental disorders
• Skin inflammation
• Chronic and infectious diseases (including cardiovascular and circulatory system)
• Predisposition to keloid scars
• Breast diseases
• Oncological diseases
• Diabetes

Elimination of nipple retraction

The surgeon makes a small incision on the chest, dissects the connective tissue, straightens the nipple and fixes its new location using a circular suture. After such an operation, there are practically no noticeable traces of intervention in the affected area.

Correction of the size and/or shape of the areolas

During the operation, the amount of the upper layers of pigmented areolar skin is removed, which, in the opinion of the patient and the surgeon, violates the aesthetics of the breast. It is cut in a circle; the area around the nipples is not affected so that the appearance of the areola is not deformed later. If asymmetry occurs, it is eliminated by giving the areolas the same parameters.

Reducing nipple length

To make the nipples shorter, the surgeon removes their ends. After this, sutures are applied. Experts note that in some cases, the skin along the neck of the nipple is removed.

Preparing for surgery

If you are planning nipple correction, you should first consult with a plastic surgeon who performs this intervention. Find out from the doctor about the nuances of future correction that interest you, asking him all your questions.

If you cannot meet with a surgeon, we draw your attention to the Online Consultation service. Ask any question about the operation and receive an answer from the surgeon within one business day.

Also, in the preoperative period, you need to be examined by doctors and take tests.

Progress of the operation

Correction of the nipple-areolar complex is performed in the superficial layers of the skin of the mammary gland, without affecting its deep layers. This is necessary in order to prevent the formation of scars visible to the naked eye.

Rehabilitation after surgery

The recovery period after plastic surgery of the nipple-areolar complex varies from 10 days to 2 weeks. At this time, there may be hematomas, cracks, and swelling in the area where the correction is performed. However, as a rule, there is no cause for concern during these 2 weeks. You may notice either a significant increase or decrease in nipple sensitivity. This is also a normal phenomenon that accompanies the recovery period.

During rehabilitation, it is mandatory to wear compression garments and regularly treat wounds with an antiseptic prescribed by your doctor. It is also prohibited to sleep on your back or side, go to the sauna, bathhouse, solarium, or be in the open sun. You cannot get the stitches wet or touch your breasts in any way unless absolutely necessary, including kneading and massaging them.

Cost of the operation

The price of nipple plastic surgery depends on the complexity of the surgical intervention. The full cost of the operation is determined by the surgeon at a preliminary consultation, when he gets to know you better and conducts an examination.

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Initial appointment with a plastic surgeon - 1,000 rubles.

Carrying out the operation - from 17,000 rubles.

Other expenses - find out the full receipt of the all-inclusive operation from the clinic administrators by phone. 8 (863) 2-372-000