A nipple correction is a surgical procedure in which certain aspects of the nipple are adjusted or reconstructed. Options include, for example, reducing a nipple that is too large or protruding, lifting a nipple that has dropped, or treating so-called “inverted” (retracted) nipples, also known as indrawn nipples. The areola – that is, the pigmented area around the nipple – can also be corrected in size or shape, for example if it appears too large or is asymmetrical.

The correction can be carried out on its own or in combination with other procedures such as a breast augmentation, breast reduction or breast lift. In this way, the proportions and overall aesthetic effect of the breast can be improved holistically.

In principle, the procedure is suitable for all adults in a stable state of health who are dissatisfied with the appearance of their nipples or suffer from functional limitations. Patients frequently express the wish for a correction in the case of nipples that are too large, asymmetrical or inverted. However, an areola that is too large, noticeable changes in shape following breast surgery, or the feeling that the nipples do not match the shape of the breast can also be reasons for treatment.

Last but not least, a nipple correction can be advisable as part of a reconstructive measure, for example after breast cancer or another medical indication. In some cases, however, medical reasons speak against an operation, such as certain skin or metabolic diseases. Whether the procedure is to be recommended in your individual case is clarified by Lecturer Dr. Matiasek in a personal consultation.

Not every nipple correction is the same; depending on the individual starting situation and the wishes of the patient, different techniques are used. Lecturer Dr. Matiasek offers all modern methods for the aesthetic and reconstructive correction of the nipple. These include:

• The correction of retracted (inverted) nipples, in which the nipple is drawn inwards permanently or situationally and can be brought upright again by small, targeted measures.
• The reduction of nipples or areolae that are too large or protruding, in order to achieve a more harmonious proportion in relation to the breast.
• The balancing of asymmetries, when one nipple is larger, flatter or differently shaped than the other.
• The reconstruction of the nipple, for example after a surgical procedure such as for breast cancer or as part of a breast reconstruction.

Whether one or more of these measures are advisable is decided individually together with Lecturer Dr. Matiasek in a personal consultation.

Nipple correction is a gentle procedure that is usually performed under local anaesthesia and, on request, also with twilight sedation to offer maximum comfort. The operation generally takes between 60 and 120 minutes. Immediately before the procedure, precise measurements and photographic documentation are carried out, during which you can of course express your wishes once again and ask any outstanding questions.

Lecturer Dr. Matiasek places the incision as inconspicuously as possible, usually at the edge of the nipple or the areola. There he removes or sculpts excess tissue and gently brings the nipple into the desired shape. Depending on the type of correction, milk ducts may also be severed in the case of inverted nipples. Depending on the technique, the ability to breastfeed may be restricted; this is expressly discussed before the procedure.

Following the operation, you spend a short recovery period in the calm atmosphere of the practice rooms, accompanied by the experienced specialist team. Depending on the technique, the sutures are self-dissolving or are removed about one week later.

Is a nipple correction painful?

Most patients find the procedure very well tolerated. Thanks to local anaesthesia, you feel no pain during the operation. In the first few days afterwards, too, only slight swelling, a feeling of pressure or occasionally a small bruise is to be expected. Severe pain is generally not to be expected.

As with any medical procedure, nipple correction also involves certain risks, even if they are rare. Temporary swelling, slight redness or small haematomas around the puncture site are possible. In very rare cases, wound healing disorders, infections or changes in sensation in the area of the nipple may occur. With certain techniques, particularly in the correction of inverted nipples, the ability to breastfeed may also be impaired. Lecturer Dr. Matiasek will of course discuss these points with you in detail during the personal consultation.

Before a nipple correction is carried out, a detailed consultation with Lecturer Dr. Matiasek takes place. In a calm atmosphere, he takes the time to discuss your wishes, your starting situation and possible treatment options with you in detail. After a precise medical history and physical examination, a joint decision is made as to whether and to what extent the procedure is advisable for you. Dr. Matiasek also addresses important medical questions, such as existing pre-existing conditions, medication or familial risk factors.

There are some precautions you should be sure to observe before the procedure: Refrain from taking blood-thinning medication such as aspirin, ASA or similar preparations for at least two weeks before the date of the operation. This is because they can increase the risk of bruising and secondary bleeding. Nicotine and alcohol should also be avoided as far as possible, as they impair blood circulation and can delay wound healing.

Immediately after the outpatient procedure, you can rest in relaxed surroundings while being very well looked after by the medical team. The first check-up appointment is arranged before you are discharged, and you receive all the important aftercare instructions.

In the first few days it is important to take things easy physically; above all, you should refrain from movements that exert pressure or strong tension on the breast. Sport, heavy lifting and sleeping on your front should also be avoided. To stabilise the result of the operation, wearing a loose, soft bra can be advisable. The wound should be kept dry and not brought into contact with water during the first two weeks.

A first check-up takes place after about one week. After that, too, Lecturer Dr. Matiasek accompanies you regularly for aftercare, at shorter intervals at first and then at longer ones, until healing is fully complete. To achieve the most inconspicuous scar possible, you should not expose the affected area to direct sunlight.

The first changes are visible after just a few days, as soon as the swelling goes down. The final result usually becomes apparent after a few weeks, depending on the condition of the skin, the course of healing and individual regeneration. As a rule, the result is permanent, provided no major hormonal or physical changes occur.

In many cases it is actually advisable to combine nipple correction with other aesthetic procedures, such as a breast augmentation, breast lift or breast reduction. This allows particularly harmonious and holistic results to be achieved. Whether a combination is recommended in your case is clarified by Lecturer Dr. Matiasek together with you during the personal consultation.

Would you like to have the shape of your nipples corrected or receive advice without obligation? Then arrange a personal appointment with Lecturer Dr. Matiasek now.