Nipple reconstruction
The final step in a breast reconstruction, where the nipple and potentially the areola are restored to achieve the most natural possible end result.
What is a nipple reconstruction?
A nipple reconstruction is a minor surgical procedure in which a new nipple is created following breast surgery, typically after breast reconstruction for breast cancer.
After a mastectomy, the breast can be reconstructed using the patient’s own tissue or an implant. Nipple reconstruction often represents the final stage in this reconstructive journey.
Although it is a relatively minor procedure, the impact can be significant. For many patients, nipple reconstruction makes the breast appear more complete and helps them to conclude the reconstructive process.
INDICATIONS
When is a nipple reconstruction performed?
procedure
How is the procedure performed?
A nipple reconstruction is usually performed under local anesthesia and typically takes about 30 minutes.
Safety
A minor procedure under local anesthesia
Nipple reconstruction is usually performed under local anesthesia and is generally well-tolerated.
Because local skin from the breast itself is typically used, no additional scars are required elsewhere on the body.
Results
A more natural final appearance of the breast
The goal of a nipple reconstruction is to make the breast appear more complete and natural.
The new nipple may flatten slightly over time. Therefore, the nipple is often shaped to be slightly more prominent during reconstruction so that the final result remains as natural as possible.
Aftercare
Protection of the new nipple
After the procedure, the new nipple is protected with a dressing or a protective cap, sometimes referred to as a nipple shield.
This prevents pressure on the new nipple. Therefore, it is usually recommended to temporarily avoid wearing a tight bra during the first few days after the procedure.
Recovery
Recovery after a nipple reconstruction
Recovery after a nipple reconstruction is usually straightforward.
In the first few days, mild swelling, limited sensitivity, and some tension may occur.
The wound is usually healed after approximately 1 to 2 weeks. Most sutures are absorbable.
The final shape of the nipple gradually stabilizes in the following weeks.
SCARS
Scars after a nipple reconstruction
Scars are usually limited to the area of the new nipple.
In a nipple reconstruction, small skin flaps are used on the reconstructed breast itself. As a result, scars are usually limited to the area of the new nipple, without additional scarring elsewhere on the body.
In addition to the nipple itself, the areola can also be restored. This is usually done with medical pigmentation (areola tattooing), where specialized techniques are used to mimic the color and shading of a natural areola as realistically as possible.
In some cases, an optical three-dimensional effect can be chosen without surgical nipple reconstruction. This can be an alternative when no additional surgery is desired.
Frequently asked questions
Your questions about nipple reconstruction answered
Is a nipple reconstruction painful?
The procedure is usually performed under local anesthesia and is generally well-tolerated.
When is a nipple reconstruction performed?
This usually takes place several months after the breast reconstruction, once the breast has fully healed and the shape is sufficiently stable.
Is a nipple reconstruction necessary?
No. Nipple reconstruction is entirely optional. The choice depends on your personal wishes and will be discussed during the consultation.
Can a nipple reconstruction be done without surgery?
Yes. In some cases, medical nipple and areola tattooing can be an alternative. This involves using pigmentation to create an optical three-dimensional effect.
Is nipple reconstruction reimbursed?
When the reconstruction is performed as part of breast cancer surgery, it is usually reimbursed within the breast reconstruction pathway.
Can a nipple reconstruction be corrected again?
Yes. If necessary, a minor correction or additional pigmentation can be performed later to improve the result.
Related procedures
More information on related reconstructive treatments:
Schedule your personal consultation
Discover how we can enhance your well-being and self-confidence with our specialized care.