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Surgically Created Nipples
A surgeon can create a new nipple to match the other breast (if the other breast maintains a nipple) or to match photos of a patient’s past nipples or a description of her desired nipples. After the new breast has had time to heal, this procedure can be done as an outpatient with local anesthesia. Making small incisions, the plastic surgeon elevates the tissue into the correct position. A nipple mound is created, formed and shaped into a protrusion that looks natural. Often tissue from other areas of a patient’s body, such as the upper thigh or buttocks, is used to rebuild the nipple and areola. In nipple reconstruction, the surgeon will make the protrusion about twice the size as the desired end-result because the nub will shrink as it heals into place.
Several techniques can be used to create a nipple mound. Each procedure involves cutting the area in a specific pattern and folding the skin and tissue. Here are just a few examples of the many methods available:
Once the created nipples have healed, tattooing (or micropigmentation) can be applied to replicate the color and suggest the texture of the nipple and areola of the other breast.
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