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Complications such as bleeding, infection, and inflammation may occur after surgery, and individual satisfaction may vary. Please consult a doctor.

What is nipple and areola surgery?

Before surgery

After surgery

What is nipple and areola surgery?

Aesthetic concerns and psychological impact

Nipples or areolas that appear disproportionately large, or inverted nipples, can cause aesthetic and psychological concerns. Nipple and areola surgery can improve functional issues while creating a more balanced breast appearance. Proportions should harmonize with breast size; a nipple diameter of about 1 cm and an areola width of about 3.5–4.5 cm are often considered balanced.

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REAL Nipple and Areola Surgery

REAL Breast Surgery

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Improve function while creating a more balanced breast appearance

Inverted nipple correction

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Nipple reduction

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Areola reduction

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MEDICAL SERVICES

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Inverted nipple correction

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Surgical methods for severe nipple inversion

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Steps

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03

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Method that does not preserve the milk ducts

This method is used for severe inversion when the milk ducts are too short and pull strongly inward. The firm fibrous tissue tethering the nipple is divided, and surrounding tissue is used to prevent reinversion. Breastfeeding is no longer possible after this method, but it can effectively reduce recurrence.

Milk-duct-preserving method

The method depends on the degree of inversion. For patients who may wish to breastfeed in the future, a simple duct-preserving technique is recommended when appropriate. A minimally invasive 3 mm incision beneath the nipple is used to release and project it outward.

Anesthesia

Sedation anesthesia

Suture removal

Postoperative day 7–10

Procedure time

1 hour

Hospital stay

Same-day surgery and discharge

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Nipple reduction

Nipple reduction is a relatively straightforward procedure in which excess nipple tissue is removed and the incision is closed. It is commonly used when nipples have enlarged and drooped after childbirth and breastfeeding. Breastfeeding function is preserved, and the nipple can be reduced to a more proportionate size.

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Surgical method

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Steps

02

03

04

Anesthesia

Sedation anesthesia

Suture removal

Postoperative day 7–10

Procedure time

1 hour

Hospital stay

Same-day surgery and discharge

03

03

Areola reduction

Areola reduction removes a ring of excess skin and closes the incision to decrease areola size. It may provide a more coordinated result when performed with breast reduction or augmentation. Although the procedure is straightforward, a large reduction can leave a scar, so the decision should follow a thorough preoperative consultation.

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How areola reduction is performed

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Steps

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Anesthesia

Sedation anesthesia

Suture removal

Two weeks after surgery

Procedure time

1 hour

Hospital stay

No hospital stay required

REAL Breast Surgery

REAL Breast Surgery

The following procedures may provide a better combined result

+ Breast reduction

Advanced regenerative techniques precisely activate the cells' repair potential, support deeper metabolism of melanin deposits, and address dull, uneven tone at its source. Alongside brightening care, collagen support is remodeled to promote clear radiance and a firmer, smoother appearance.

+ Breast augmentation

High-frequency ultrasound energy creates an effective pathway for skin absorption, delivering a concentrated vitamin complex into the dermal layer without needle puncture for deeper nourishment. It supports facial contours while revitalizing dehydrated, tired skin for an immediately firmer and naturally replenished look.

The following procedures may provide a better combined result

+ Breast reduction

+ Breast augmentation

Advanced regenerative techniques precisely activate the cells' repair potential, support deeper metabolism of melanin deposits, and address dull, uneven tone at its source. Alongside brightening care, collagen support is remodeled to promote clear radiance and a firmer, smoother appearance.

High-frequency ultrasound energy creates an effective pathway for skin absorption, delivering a concentrated vitamin complex into the dermal layer without needle puncture for deeper nourishment. It supports facial contours while revitalizing dehydrated, tired skin for an immediately firmer and naturally replenished look.

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Questions and answers

Questions and answers

Will I be unable to breastfeed after inverted nipple surgery?

There are duct-preserving and non-duct-preserving methods. In severe inversion, the ducts pull the nipple inward and may need to be divided, after which breastfeeding is not possible. Mild inversion can often be corrected without dividing the ducts, allowing breastfeeding. However, even people with normally shaped nipples may have difficulty breastfeeding for other reasons, so the outcome cannot be guaranteed.

Does an inverted nipple always require surgery?

Mild inversion does not always require surgery. With severe inversion, debris can collect in the recessed area and cause inflammation, and severe cases may interfere with breastfeeding. Surgery may therefore be recommended to prevent inflammation.

Will areola reduction leave a large scar?

Incision placement depends on areola size. For a large areola, the incision runs around its edge, and stretching of the skin at the scar may widen it. Consider surgery only after understanding the likely extent of scarring.

Can the nipple enlarge again after reduction?

Nipple reduction removes part of the nipple and closes the tissue, so it generally does not enlarge again after surgery. Breastfeeding, however, can cause it to become larger.

Breast Surgery Reviews

Breast Surgery Reviews

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Real Breast Surgery Cases

These are patients treated at REAL

These are patients treated at REAL

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If you are being treated or taking medication for hypertension, heart disease, diabetes, or a thyroid condition, be sure to inform the medical team in advance.

  1. If you are being treated or taking medication for hypertension, heart disease, diabetes, or a thyroid condition, be sure to inform the medical team in advance.
  2. Stop smoking before surgery because cigarettes can trigger phlegm, sneezing, and postoperative bleeding.
  3. Observe the required fasting period before surgery.
  4. Contact lenses, jewelry, nail products, and similar items may interfere with surgery, so remove them beforehand.
  5. Wear comfortable clothing that will not irritate the surgical area when you come to the hospital.
  6. You may be unable to drive after surgery.

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