Board-Certified Plastic Surgeons Serving Denver, Lone Tree, Colorado & Nationwide
There are several different types of mastectomy or breast cancer surgery. Most involve removing the nipple and areola. Therefore, women often rely on secondary surgeries and techniques after breast reconstruction to achieve the most natural-looking outcome.
For them, nipple reconstruction surgery can be an important final step in their breast reconstruction journey. Of course, the choice is entirely up to you.
Are you interested in exploring your options for nipple reconstruction? Call 303-706-1100 today to schedule a consultation at The Breast Center Park Meadows Cosmetic Surgery. We serve patients from Denver and Lone Tree, Colorado and across the country.
What Is Nipple Reconstruction?
Nipple reconstruction surgery is an outpatient procedure, performed in our ambulatory surgical center, located right at our office in Lone Tree. It often uses the skin from your reconstructed breast or elsewhere on your body to rebuild an elevated nipple. To add color and create the appearance of an areola, the reconstructed nipple can be tattooed later.
The most significant benefit of getting your nipple reconstructed is that it will project outward. You may find that this gives your reconstructed breasts a more natural appearance in and out of clothing. That can go a long way to increase your overall satisfaction with your results.
Who Is a Candidate for Nipple Reconstruction?
You may be a candidate for nipple reconstruction if you have had breast reconstruction with implants or a tissue flap. However, it depends on your health and breast tissue condition.
Some factors that may impact your ability to get nipple reconstruction include:
- Skin damage due to radiation treatments
- Skin thickness after mastectomy and reconstruction
- Chest lymphedema
- A history of infections in the breast area
Nipple reconstruction is ideal for those who want their nipples to have physical dimension. Some patients prefer it if their nipples do not show through their clothes and enjoy the freedom that comes with not wearing a bra. If you identify with the latter, tattooing may be a better option.
Is Nipple Reconstruction Painful?
Nipple reconstruction is a minor procedure that is usually performed under local anesthesia. You may notice a slight pinch as the numbing medicine is injected into the treatment area. Once it takes effect, you should not feel much pain or tenderness during the procedure. Keep in mind that you may have little to no sensation in your breasts after mastectomy and reconstruction.
How Do I Prepare for Nipple Reconstruction?
You will receive a specific set of pre-operative guidelines before nipple reconstruction surgery. Those guidelines will include information about:
- Eating and drinking before your procedure
- Medications to take or avoid
- What to wear to your surgery
We often recommend waiting at least four months after breast reconstruction to get this surgery. Doing so will allow your breasts to heal and settle into their final appearance. If you are pursuing fat grafting and other shaping procedures, it is generally best to wait until those are complete.
How Is Nipple Reconstruction Performed?
Nipple reconstruction can be performed in several different ways. The most common techniques include:
- Skin flap: By folding and suturing together flaps of skin from your reconstructed breast, this approach creates a small elevated mound. Sometimes, additional skin, fat, or fillers are used to achieve better nipple projection.
- Skin graft: If there is not enough tissue to create flaps on the skin, a skin graft may be appropriate. It involves taking skin from another area of the body, such as the abdomen or thigh, and manipulating it to form a new nipple.
How Long Does the Nipple Take To Heal After Reconstruction?
Nipple reconstruction comes with a relatively short and easy recovery. Our surgeons will provide aftercare instructions and activity restrictions. You will need to wear a protective dressing until your follow-up visit a week after surgery. Avoid wearing tight bras and shirts that apply pressure.
It can take between four to six months for your new nipples to settle. At that point, you can choose to have tattoos applied to the reconstructed nipples and areola area. This step will add color and create a more realistic look. We perform the areola pigmentation in our office, or we have a few artists nationwide we can recommend!
What Should I Expect From My Results?
Nipple reconstruction has a high patient satisfaction rate. This is evidenced by a multi-center study on nipple reconstruction with the Biodesign Nipple Reconstruction Cylinder. Ninety-eight percent of patients involved recommended nipple reconstruction surgery following mastectomy.
Initially, your new nipple(s) may look larger and pointier than you expected. They may also be red and swollen. Do not be discouraged. Over time, they will shrink and look more natural.
How Long After Breast Reconstruction Can I Have Nipple Reconstruction Surgery?
Nipple reconstruction surgery timing varies for each individual. The ideal timing depends on factors like the type of breast reconstruction performed and your unique healing process.
Generally, your surgeon can perform nipple reconstruction 3-4 months after the initial breast surgery. Some patients may need to wait up to six months or longer, though.
This waiting period allows the reconstructed breast to settle into its final shape and size. It also allows for better alignment and symmetry of the new nipple.
At The Breast Center, our experienced surgeons will evaluate your specific case. They will then recommend the optimal timeline for your procedure.
Will the Reconstructed Nipple Have Sensation?
A common concern about this surgery is whether the new nipple will have sensation.Â
Advancements in surgical techniques have improved outcomes. However, it's essential to understand that the reconstructed nipple typically does not have the same level of sensation as a natural nipple.
Some patients may experience partial sensation over time. The exact amount varies from person to person, though.
Our surgeons at The Breast Center use the latest methods to create a realistic-looking nipple. Sensation may be limited, but the aesthetic results can enhance confidence. They also provide a sense of completeness.
What Are the Risks and Potential Complications?
Like any surgical procedure, nipple reconstruction carries some risks and potential complications. These can include:
- Infection
- Bleeding
- Poor wound healing
- Asymmetry
- Changes in skin pigmentation
Serious complications are rare. Our team of skilled surgeons also takes every precaution to minimize these risks.
During your consultation, we will talk about your medical history and address any concerns you may have. We ensure you are informed about the process and possible outcomes before moving forward.
How Do I Care for My Reconstructed Nipple After Surgery?
Post-operative care is critical to the success of nipple reconstruction surgery. Your surgeon will provide detailed instructions on caring for the reconstructed nipple. These instructions may include:
- Keeping the area clean and dry
- Avoiding strenuous activities
- Following a prescribed medication regimen
- Wearing a special dressing or support garment to protect the nipple as it heals
Your surgeon will also schedule regular follow-up appointments. This gives them a chance to track progress and respond to concerns promptly.
How Long Does the Procedure Take?
Nipple reconstruction surgery is relatively quick. It’s often completed in around one hour. The exact duration depends on the technique used. It also varies based on the number of extra procedures (if any) performed at the same time. Â
The Breast Center team strives to make the experience as comfortable as possible. Our state-of-the-art Lone Tree, CO facility ensures you receive top-notch, efficient care.
Can I Combine Nipple Reconstruction with Other Surgeries?
Yes, your surgeon can typically combine nipple reconstruction with other surgeries. Common pairings include breast tattooing and minor touch-ups.
Combining procedures can be a convenient option. It reduces the number of surgical sessions and total recovery time.
Why Choose The Breast Center?
When you choose The Breast Center for your nipple reconstruction surgery, you’ll receive care from highly qualified and experienced professionals. Dr. Christopher G. Williams and Dr. Jeremy Z. Williams are both board-certified plastic and reconstructive surgeons in the Denver area. They bring extensive expertise and a patient-focused approach to every treatment. Their commitment to excellence and bespoke care helps patients achieve natural-looking results and a renewed sense of confidence.
At The Breast Center, we prioritize your safety and comfort. We do this by performing most breast reconstruction procedures at Park Meadows Outpatient Surgery (PMOS). This state-licensed facility is accredited by The Joint Commission. PMOS offers a private, comfortable environment equipped for overnight stays. We work hard to provide you with a seamless and reassuring surgical experience from start to finish.
Schedule Your Nipple Reconstruction Consult With Dr. Williams!
If you are interested in learning more about the nipple reconstruction surgery, or if you wish to determine whether you are a candidate for the procedure, please be sure to schedule a personalized appointment with Dr. Christopher G. Williams and Dr. Jeremy Z. Williams. Call 303-706-1100 or fill out the email contact form on our contact page. Our practice looks forward to serving you!