Areola-Nipple Complex Surgery
Aesthetic and Functional Solutions for the Breast

Areola-nipple complex surgery is a speciality that corrects various alterations in this delicate, significant area of the breast. Whether for aesthetic reasons, due to oncological processes, or as a result of other surgical procedures, correcting the areola-nipple complex can have a profound impact on a patient’s self-esteem and confidence. Dr Sarrià, with his extensive experience, offers personalised solutions that not only restore harmony to the breast but also improve the functionality and aesthetics of the area.

Before & After

Enlarged
Areolar Diameter

One of the most common issues we treat is an enlarged areola diameter. This can occur for various reasons, such as tuberous breast, previous surgeries, or as a result of pregnancy and breastfeeding. In an aesthetically balanced breast, the areola diameter should generally measure between 38 and 42 mm. When this diameter exceeds the ideal measurement, it can be corrected through surgery.

During the procedure, excess skin is removed and a precise suture is performed using high-quality materials such as Goretex or Supramid. This ensures the areola remains stable at its new diameter, preventing further enlargement. The aim is to restore a natural, harmonious appearance proportionate to the patient’s anatomy.

Hypertrophic Nipple

A hypertrophic nipple — one that is excessively large or protruding — can be an aesthetic concern for many women, especially after pregnancy and breastfeeding, though it also affects men. Excess nipple size or projection can be corrected through surgical reduction.

The surgery involves narrowing the base of the nipple or reducing its length, achieving a more balanced proportion with the rest of the breast. This procedure is performed with great care, ensuring a harmonious result and a quick recovery, without compromising the function or sensitivity of the area.

Inverted Nipple

An inverted nipple is a condition in which the nipple retracts inward due to abnormal development of the milk ducts. This can cause discomfort or difficulty with breastfeeding, as well as aesthetic concerns. Surgery to correct an inverted nipple involves releasing the nipple and performing a suture that holds it in its natural position, allowing it to protrude outward.

This procedure not only resolves the aesthetic issue but also improves nipple function, particularly for breastfeeding. With the appropriate technique, a favourable recovery and long-lasting result are ensured.

Oncological Processes: Areola-Nipple Complex Reconstruction

In cases of breast cancer, removal of the areola-nipple complex is often necessary as part of surgical treatment. Additionally, some complications arising from previous breast surgeries may also require reconstruction of this area.

Nipple reconstruction after an oncological process is performed using a local flap of surrounding skin, creating a new nipple with a natural appearance. For areola reconstruction, skin grafts from the groin area may be used, or micropigmentation techniques, which offer highly satisfactory aesthetic results.

This type of surgery not only has a physical impact but also plays a crucial role in patients’ emotional wellbeing, helping them regain confidence and a more natural, harmonious breast appearance.

Recovery and Results

Areola-nipple complex surgery is minimally invasive and, in most cases, does not require a lengthy hospital stay. Recovery is relatively quick and depends on the specific procedure performed. With close follow-up and proper care, patients achieve natural, satisfying results, improving both the aesthetics and functionality of the areola-nipple complex.

Dr Sarrià and his team are committed to offering a personalised approach, always seeking patients’ complete satisfaction and ensuring a precise, safe procedure.

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