Nipple Deformities – Simple Plastic Surgery Corrections

Nipples are as variable as the size and shape of breasts. No two nipples are ever exactly alike, usually not even on the same person. While much breast reshaping (breast augmentation, breast reduction, breast lift) goes on in plastic surgery, many men and women suffer from nipple deformities as well which also affects their self-esteem. Nipples can stick out too much, can be turned in, or the areola (the colored area surrounding the nipple) can be too large. Some of these nipple problems may affect certain breast functions such as feeling or lactation. The good news is that there are some very simple plastic surgery procedures that are quite effective at improving these problems.

For the sake of clarification, what most call the nipple is actually two different structures. The true nipple is the central projecting skin area that has both enhanced sensation and milk ducts for lactation. The flatter, almost always more pigmented, skin around the true nipple is called the areola.

Nipple inversion (shy nipple) affects about 2% of the population, more commonly in women than men. Some nipples can be turned in slightly or to a significant degree. Some people are born with nipple inversion, others occur later often after breastfeeding. In rare instances, a tumor may be pulling the nipple inward and this should be ruled out particularly if it occurs later in life and just on one breast. Correction involves a simple procedure done under local anesthesia. The nipple is released and brought out. The biggest problem with nipple inversion correction is relapse, the nipple losing projection and returning to an inward position. Nipple inversion surgery can also be done at the time of other breast surgery. I usually like to delay repair in the case of breast augmentation until later as the implant may help to push out some nipples, making correction unnecessary.

Enlarged nipples often create visible ‘headlights’ which can be a source of embarrassment for many women. This can also be an issue for some men. An overly projecting nipple can be easily reduced through a wedge excision or a ‘ring’ reduction approach. Sensation and the ability for milk production can be preserved with either technique. Done under local anesthesia, nipple reductions are very stable and are not associated with any significant relapse.

“Puffy” nipples can occur in women and are usually associated with the tubular breast deformity. In this nipple problem, the areola and the nipple are pushed outward due to an underlying herniation or protrusion of breast tissue. Correction of this problem is slightly more complex than isolated nipple surgery. It is usually treated as part of tubular breast surgery which involves the use of a breast implant and areolar manipulation. This is treated by making an incision around the areola, removing some of the pigmented skin (if needed), and lifting the areola skin up and decreasing the projection (puffiness). This is a more extensive surgery and requires an operative room experience under anesthesia.

Large or wide areolas are extremely common in big breasts. Usually the size of the areola is related to the size of the breast, but not always. Large areolas are commonly reduced as part of breast reduction surgery. They can be reduced independent of a breast reduction through the periareolar approach. By removing a ring of the outer areola, the circular diameter of the areola is narrowed. Due the tightness of breast skin, there is a limit as to how much the areola can be reduced. This procedure results in a scar at the junction of the areola and skin which occasionally widens and requires secondary revisional surgery.

Risks and Benefits of Plastic Surgery

Despite the slow economy in the United States, more Americans than ever are having plastic surgery. According to the American Society for Aesthetic Plastic Surgery (ASAPS) over 13 million procedures were performed last year. That’s up by 5%.

The most common surgeries are breast augmentation at 318,123, liposuction at 289,016, and blepharoplasty, or eyelid surgery at 152,123.

So why is plastic and cosmetic surgery so much in demand and what risks are people taking to get it?

The most obvious reason is that people want to look good and looking younger always helps in looking good. Plastic surgery boosts self-confidence. Not only do a person’s looks improve but he or she improves their attitude about themselves. Employers are more likely to hire them and others to find them attractive. If a person is overweight as well, weight loss surgery can help regain their youthful slimness faster and more permanently than dieting alone.

In today’s culture aging has no credibility at all. When so many multi-millionaires in Silicon Valley are under 30, getting older doesn’t even mean getting wiser, or more prosperous. In a recent study published by ASAPS people who had cosmetic surgery had no problems being identified by college students as 10 years younger than their actual age.

However, even with today’s technological advances, plastic surgery is still no cake walk. It is surgery and that carries automatic risks, such as:

  • blood clots
  • excessive or unexpected bleeding
  • infection
  • tissue death
  • paralysis
  • loss or change of sensation
  • incomplete healing
  • anesthesia malfunction
  • pneumonia
  • secondary surgeries
  • no satisfaction with results
  • nerve damage
  • obsession with more surgeries
  • high debt or bankruptcy due to cost

The last one should not be discounted. Though cosmetic surgery may be popular, a typical face lift costs between $4,000-$10,000 and a breast lift, between $3,000-$6,000 in the U.S. Unless it is associated with an accident or illness most employer insurance does not cover plastic surgery. Even countries that have government health insurance do not cover plastic surgery that is for cosmetic reasons only.

Saving on plastic surgery costs in Mexico

One way to cut costs considerably is to travel to Mexico. Places like Tijuana, Mexicali, Ciudad Juarez and Puerto Vallarta are very easy to reach from the U.S. and welcome foreign patients.

Bad news has been reported about charlatans in Mexico promising miracle cures, or offering unbelievably low prices. However, Mexico also has very professional, highly competent hospitals and doctors that can match the quality and standards of any in the U.S. Many are affiliated with American hospitals.

Plastic surgery costs performed by highly proficient surgeons, in clean and modern hospitals, with the state-of-the-art equipment can still come to as much as 90% lower than the cost of cosmetic surgery in the U.S. In many cases the hospitals will arrange pickup and delivery of patients from and to the border as well as airports or other transportation sites. Comfortable resort areas for recovery — away from violent or dangerous areas — can also be part of the package deal.

For those who believe they deserve to look as good as they feel — and have checked out the risks with their own doctors — travel to Mexico can make plastic surgery financially worth the effort.

The Importance of Finding Good Plastic Surgeons

The importance of finding a good plastic surgeon cannot be understated. News of botched up jobs by plastic surgeons and near deaths have also accompanied celebrity endorsements of plastic surgeons and their clinics. The networks have recently been rocked by gruesome details of unsuccessful cosmetic surgical procedures which wound up badly for the patient. You would not want to get the exact opposite of what you expected.

Your criterion for finding a good plastic surgeon will be based on whether it is a reconstructive or aesthetic surgery, or both. A safe approach to finding a good surgeon would first be to verify your referral with the Professional Regulation Commission (PRC), the Philippine Medical Association (PMA) and the Philippine Association of Plastic, Reconstructive and Aesthetic Surgeons, Inc. (PAPRAS) at their websites at the following:

prc.gov.ph

philippinemedicalassociation.org

papras.org

The websites are equipped with search engines for finding a member doctor’s name. You may also e-mail them at their contact addresses for your queries. Your guide to rating the doctor will be his credentials, which should include board certification certifying that he is a plastic surgeon. His hospital affiliation and rapport with other doctors and patients should also be determined. Cosmetic surgery being a special field of medicine, requires the completion of two years in this field of specialization on top of three years of general practice. His hospital affiliation is important because cosmetic surgery requires specialized equipment. A doctor’s affiliation with a prestigious hospital or clinic known not only for its modern equipment but for research and development, as well, in this special field, would certainly add to his credentials. Medical journals, both offline and online would be a great help to patients who are scouting for the right doctor and hospital or clinic.

Good plastic surgeons also advertise with credible advertising agencies or media. Credentials are best enhanced by testimonies of successful operations and endorsements by celebrities. Your doctor’s reputation is also important. You might also want to search your doctor’s name in any of search engines in the internet for anything irregular. Some doctors associated with a known celebrity cosmetic surgeon, for example, have been recently dragged to court for unprofessional conduct involving their patients. Patients have a right to keep their medical records private. Most non-celebrity patients prefer to be discreet and keep the procedure a secret. Furthermore, unless you are a celebrity, it is deemed to be prudent to prefer a plastic surgeon who is known to be discreet.

Plastic Surgery Questions to Ask

A recent study published in 2008 by the American Society of plastic surgeons has predicted that by the year 2015 more than 55 million plastic surgeries will be performed yearly. This is wonderful news for the Los Angeles plastic surgery industry. However, new patients should now more than ever be thorough in their due diligence when selecting a plastic surgeon. During the consultation process patients discussing potential surgical and nonsurgical procedures with a prospective surgeon would be well advised to thoroughly evaluate answers to questions, general attitude and communication skills of medical staff, as well as the experience of the surgeon. 

A Los Angeles plastic surgeon should have a patient referral list available, and be willing to answer extensive questions about their years in practice, prior medical specialties, and board certification. Additionally, potential surgeons should be honest and forthcoming about any disciplinary actions taken against them by the state medical board. Likewise, frank discussions about their malpractice insurance in any malpractice lawsuits should be a part of the initial consultation process. If the surgeon has had any hospital privileges suspended or revoked this should also be disclosed. Regardless of the answers the surgeon provides to these questions, part of your due diligence is to verify their answers. 

In addition to basic background information about the surgeon’s practice and any negative issues on their record, there are other questions of equal importance that should be on your list. Other questions to ask prior to plastic surgery Los Angeles, include specific procedures they prefer to perform, how many times they have performed the specific surgery you are considering, as well as any revisions to their own work they have performed. You may also want to ask how many of these revisions were due to poor outcomes versus how many were the result of patient decisions. These questions serve to ensure you find the best surgeon for your particular procedure. 

In addition to questions specific to the plastic surgeon in Los Angeles with whom you’re consulting, you should also ask questions relative to your specific situation. These might include whether you are a good candidate for the surgery, potential complications, and steps to ease pain or discomfort.

Additionally, questions regarding anesthesia such as how long it will be under, the type of anesthesia, and who will administer it should also be on your list. While these suggestions for questions cover a broad range of topics, you should include any other questions that might help you make your final decision.

Plastic Surgeon Los Angeles

Should Teenagers Have Plastic Surgery? Teen Cosmetic Surgery

One of the most charged debates out there today concerning plastic surgery is whether or nit teens should be able to have it. The biggest problem with this debate is that legislation has yet to step in and say no way to the surgeons who perform these surgeries. Many people insist that the choice to have plastic surgery done should be made by adults only. Their number one reason is due to the fact that a teenager’s body is still growing.

The American Society of Plastic Surgeons has actually set guidelines that their certified doctors must abide by on how to determine if a minor should be allowed to have a surgery completed. The doctor’s decision must be based on the fact that the teenager’s body must ready for such an alteration as well as their emotional mentality must be ready.

The only real legislation involved with teenage plastic surgery is from the FSA who has stated that no person who is under the age of 18 shall be allowed a breast augmentation. But that is the limit to the government’s involvement. There are no laws to say that a teenager cannot have their ears, nose or chin worked on.

The truth is, that although the number of teenagers who undergo a plastic surgery has declined in recent years, there are still way too many procedures being done. One of the American Society of Plastic Surgeons representatives was even quoted as stating that is is most likely to do with too many doctors saying that the surgery can be done, but in reality it should not. It comes down to the all mighty dollar and how much money the doctor can safely rake in over any given time period.

A teenager’s body is still undergoing development even after the age of 18, and for any teenager to decide that something is not correct, even if it has not finished its growing, maybe an incorrect way to do things. Too many teenagers have chosen plastic surgery and in most cases like anything else associated with teenage life it comes down to socialized patterns. A teen who has plastic surgery done to look like a movie star, is only doing it in order to fit into a crowd that they would not have fit into to begin with. This may also lead to further emotional scars as that teenager grows older and wonders if the operation was a good choice.

Teenagers are obsessed with how they look and how others perceive them. No matter how much they change, they will never be perfect in their own mind’s eye. So what it really comes down to is that teenagers just may not be emotionally able to decide appropriately as to whether or not a procedure should take place. Many parents are also not helping the matter. The parents for some unknown reason will give the necessary consent as well as the cash for their minor child to under go a procedure.