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Elliot W. Jacobs, MD, FACS - Diplomate, American Board Of Plastic Surgery

Specializing in Primary &
Revision Gynecomastia Surgery

815 Park Avenue New York, NY 10021

Nipple Conditions

Protruding Nipples

Sometimes there has been insufficient removal of breast tissue beneath the nipple and it remains protruding after initial surgery. This can occur if only liposuction has been performed or if excision was performed but insufficient tissue removed. Revision gynecomastia surgery for this situation will consist of removal of the residual excess tissues so that the nipple will like smooth and flush with the surrounding skin. It is important, though, for enough tissue under the nipple to be retained to prevent the production of a crater deformity.

Inverted Nipples

Inversion of a previously normal nipple can occur after gynecomastia surgery. This tethering of the nipple to underlying structures is due to scar adherence. Revision surgery to correct this problem will require surgical release of the tether and then placement of some form of fat tissue (graft or flap) between the nipple and the underlying tissue to serve as a “spacer” so that the problem does not recur.

Nipple Lump Treatment

Some patients consult for gynecomastia revision surgery because they can “feel” something under their nipples even though their chest contours are excellent. One must understand that this surgery is basically directed to providing excellent chest contours – ie, a visual result. In 100% of cases, there will absolutely be residual scar tissue under the skin and nipples – that is the normal way in which the body heals – and that tissue may feel firm. There is nothing to be gained by trying to reduce these scar tissues with cortisone – it may induce an unwanted crater deformity. After all, this is not surgery performed so that one can invite another to feel one’s nipple to see if there is anything there.

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