Nipple Reconstruction: What to Expect

Following a mastectomy and breast reconstruction, the majority of patients also undergo a straightforward cosmetic surgery called nipple reconstruction. The procedure rebuilds the darker-colored areola and nipple. If you recently underwent a mastectomy, Dr. Ravi Tandon performs the reconstructive surgery for patients in New Orleans and Metairie, LA

While this final step is entirely optional for patients, it can help to complete your transformation and reconstruction. Following the surgery, patients can enjoy the emotional and cosmetic benefits of a restored nipple. Dr. Tandon, who holds affiliations with the American Society of Plastic Surgery and American Society for Reconstructive Microsurgery, is a respected regional leader in this advanced surgical technique.

illustration of areola construction

Do I Require Nipple Reconstruction?

Unless you have undergone a nipple-sparing mastectomy that deliberately leaves the breast skin and nipple intact, your reconstructed breast will be missing the nipple. Some women choose to reconstruct the nipple, while others prefer to avoid additional treatment. Should you be interested in nipple reconstruction, it is important to know your options.

The nipple can either be reconstructed from surrounding skin, which will be shaped into a lifelike projection, or it can be tattooed onto the breast tissue. Dr. Tandon can review your options and recommend the best one for your needs. Candidates must be fully recovered from breast reconstruction surgery, which can take three to four months. As with any surgery, candidates should be in good overall health and free of medications or conditions that could complicate surgery and recovery.

Typical Nipple Reconstruction Techniques

After implant or natural tissue breast reconstruction, you can choose to have your nipple reconstructed or tattooed. This portion of treatment is performed at least three to four months after reconstructive surgery so that the breasts have had time to heal. There are several nipple reconstruction techniques available to Dr. Tandon. Depending on your cosmetic needs, he may use:

  • Skin Flap: This surgery uses skin flaps from your breasts that are folded and sutured to build a mound that replaces your lost nipple. Transplanted fat and synthetic filler may be used to make the nipple appear more erect. 
  • Skin Graft: When there isn’t sufficient tissue to form a nipple, a skin graft may be needed. Donor skin may come from the thigh, abdomen, buttocks, or groin area.
  • Autologous Graft/Nipple Sharing: Some patients have enough tissue on their unaffected breast to graft onto the affected breast.
  • Medical Tattooing: Many women seek medical tattooing as a means of avoiding or reducing the need for surgery. The procedure can be performed in conjunction with surgical techniques. It is important to understand that tattooing can deliver great cosmetic results, but the treatment does not elevate the skin surface. 
  • 3-D Areola Tattoos: Recent advancements in tattooing techniques have made areola tattoos a popular option for many patients following breast reconstruction. This option is ideal for those who would like to avoid additional surgery and more extensive healing. Dr. Tandon works closely with an artist who specializes in medical tattoos. They can create depth and color variation that mimics the appearance of the nipple. This procedure typically takes about 30 minutes to one hour to complete.

How Does Nipple Reconstruction Work?

Nipple reconstruction is typically performed once you have fully healed from your breast reconstruction, which takes three to four months on average. Before your surgery at our New Orleans medical facility, you may be asked to:

  • Refrain from eating or drinking for a specific period of time before surgery
  • Not take medications the day of the surgery
  • Wash with an antimicrobial soap
  • Not apply deodorant or skin products before coming to our surgical clinic
  • Wear loose-fitting clothes to your surgery

During the procedure, Dr. Tandon will use tissue to rebuild your nipple using a combination of several surgical techniques. The relatively minor outpatient procedure is often performed using local anesthesia and, if necessary, sedation or general anesthesia. 

Steps of nipple reconstruction surgery

What to Expect during Your Recovery

If you have had general anesthesia, you will be brought to a recovery room immediately after your surgery. Once Dr. Tandon has checked your vitals, you will be allowed to return home to rest. Make sure to have a ride arranged after surgery. You will be given recovery guidelines that are to be followed closely. You will be fitted with a nipple shield that should be left in place until Dr. Tandon says it can be removed.

It is normal for your reconstructed nipple to appear larger than your natural nipple in the days following surgery. Once the stitches are removed, typically after two weeks, the nipple will begin to flatten. The reconstructed nipple may be tender for a week or so. Dr. Tandon will recommend medications that can address any discomfort you experience.

Schedule Your Nipple Reconstruction Surgery Today

The Women's Health and Cancer Rights Act requires that most health insurance companies cover each stage of breast reconstruction surgery. If you have questions about insurance coverage or financing, a member of our medical team will be glad to answer your questions.

Dr. Ravi Tandon, who is affiliated with the American Society of Plastic Surgery American Society for Reconstructive Microsurgery and Louisiana Society of Plastic Surgeons, is fully committed to helping patients achieve the most natural breast reconstruction results possible. To schedule your nipple reconstruction consultation, please contact our office online or call (504) 455-1000.

Ravi Tandon, M.D.

Dr. Ravi Tandon is one of the most sought after plastic surgeons who is highly skilled and has trained in the latest breast reconstruction techniques. He is affiliated with various plastic surgery organizations: 

  • American Society of Plastic Surgery
  • American Society for Reconstructive Microsurgery
  • Louisiana Society of Plastic Surgeons

If you are exploring breast reconstruction during, immediately after, or long after your mastectomy, our compassionate team can help. To learn more about your options, request a consultation online or call our practice at (504) 455-1000.

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Metairie Office

3900 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002

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