Cosmetic Surgery Thunder Bay Ontario - Plastic Surgery Thunder Bay Ontario - Cosmetic Surgeon Thunder Bay Ontario - Plastic Surgeon Thunder Bay Ontario - Breast Surgeon Thunder Bay Ontario - Breast Augmentation Thunder Bay Ontario - Face lift Canada - Nose Job - Dr. Sanjay Azad, Thunder Bay Plastic Surgery
HOME     |     CONTACT     |     ABOUT US     |     PHOTO GALLERY     |     PUBLICATIONS     |     TESTIMONIALS     |     MEDIA     |     RESOURCES     |     LINKS     |     SITEMAP
Facial Surgery - face lift - eye bag removal - eyebrow lift - nose job - chin augmentation - ear correction in birmingham, burton, uk
bullet1   FACIAL SURGERY
bullet1   FACIAL REJUVENATION
bullet    Botox
bullet    Chemical Peels
bullet    Fillers
bullet    Lipofilling
Breast enlargement - breast lift - breast reduction - male breast reduction - breast reconstruction in birmingham, burton, uk
bullet1   BREAST SURGERY
Body Contouring - Tummy tuck - massisve weight loss surgery - thigh lift - arm lift - liposution in Birmingham, Burton, UK
bullet1   BODY CONTOURING
bullet    Tummy Tuck
bullet    Massive Weight Loss Surgery
bullet    Thigh Lift
bullet    Arm Lift
bullet    Liposuction
Skin - skin cancers - skin lesions in birmingham, burton, uk
bullet1   SKIN CANCERS
Scars - labial reduction
bullet1   OTHER PROCEEDURES
bullet    Hair Transplant
bullet    Scars

bullet    Labial Reduction

Please contact Dr Sanjay Azad to arrange a private consultation

NIPPLE RECONSTRUCTION

Purpose: To create a nipple to give the reconstructed breast a normal appearance
Length of operation: 30-45 min
Anaesthesia: Local
Inpatient stay: Nil
Followup: 1 week
Time of work: couple of days
Recovery:  1 week
Risk: Infection, nipple shrinkage

This is a procedure to create a nipple and is done at the end of the reconstructive process. Creating a nipple at the top of the breast mound, gives the reconstructed breast a much better appearance.

Traditionally a nipple prosthesis has been used to replace the lost nipple, but it is artificial and frequently falls off. Other techniques involve removing a part of the normal nipple and then placing it at the site of the new nipple as a free graft. This has issues of graft take and loss of nipple sensation of the normal side.

Procedure

The best current practice is to create a nipple from the available local tissues. Nipple reconstruction is normally done only after 3-6 months of breast reconstruction, which allows time for the reconstructed breast to settle down. It can also be usefully combined with breast lift procedure of the normal breast, to give better balance and symmetry to the chest.

The procedure involves local anaesthesia and is done as a day case, lasting typically for 30-45min. Dr Sanjay Azad will measure, mark and ensure that you are happy with the site of nipple placement.

The procedure involves raising a little piece of tissue as a flap. This flap of tissue is then is twisted on itself and sutured with dissolving stitches. The end result is a life like nipple, which is initially oversized to compensate for future shrinkage. A doughnut dressing is placed over the site of nipple reconstruction to protect the nipple from direct pressure.

Recovery

The procedure is not painful, particularly so if nipple reconstruction has been done at the site of a previous flap based reconstruction.  The dressing is changed after a week and then a bra is worn with a protective doughnut inside. This is again to avoid any direct pressure on the reconstruction.  This status needs to be maintained for 3 weeks, when you can start wearing normal bras without any additional dressings. The stitches are all dissolving in nature and will occasionally work their way out. Gentle massage with moisturizing cream on the sides of the nipple reconstruction helps it to settle down in the longer term.

After 3 months of nipple reconstruction, the nipple and the surrounding area can be tattooed to replicate the pigmented area of the normal nipple (areola).

Complications

Complications are rare and include infection and bleeding. Scars settle down well and are effectively camouflaged by the tattooing process. Nipple shrinkage is common but not bothersome to most patients.

MARKING UP
Nipple Reconstruction - Marking: Right nipple reconstruction after flap reconstruction. Local anaesthetic day case procedure. Detailed assessment and marking for nipple location done.
MARKING & LOCAL ANAESTHETIC
Nipple Reconstruction - Marking and local A: Nipple drawn, usually minimal amounts of local anaesthetic required as the flap will have reduced sensation.
FLAP BEING MOBILIZED & STITCHED
Nipple Reconstruction - Flap mobilized: Skin deep surgery. Local tissue used. CV flap or modification used.
NIPPLE RECREATED
Nipple Reconstruction - Nipple created: Dissolving sutures. Nipple made quite large to factor inevitable shrinkage.
DOUGHNUT DRESSING
Nipple Reconstruction - Dressing: Doughnut dressing to avoid pressure.
TATTOOING WITH FINAL RESULTS - 6 MONTHS
Nipple Reconstruction - Tattoos: Scars of nipple reconstruction well masked. Tattooing important for final appearance of the nipple.

|  Face Lift (Rhytidectomy)  |  Eye Bag Removal (Blepharoplasty)  |  Eyebrow Lift (Forehead plasty) |  Nose Job (Rhinoplasty)  |  Ear Correction (Otoplasty)  |  Chin Augmentation  | 
|  Fillers  |  Chemical Peel  |  Botox  |   
|  Breast Enlargement (Augmentation)  |  Breast Lift (Mastopexy)  |  Breast Reduction  |  Male Breast Reduction  |  Breast Reconstruction  |  
 |  Tummy Tuck (Abdominoplasty)  |  Liposuction  |  Lipofilling   |  Weight Loss Surgery |  Arm Lift  |  Thigh Lift  | 
|  Skin Cancers | Hair Transplant |  Scars  |  Labial Reduction  |