Nipple Reconstruction & Secondary Breast Correction Surgery

By Elena Prousskaia MD, FRCS (Plast), FEBOPRAS

Nipple reconstruction surgery is a quick and simple procedure, which is done under local anaesthetic.

It is often seen as the finishing touch to your  breast reconstruction and makes your breast look very natural indeed.

In this page, we look at:
• Nipple Reconstruction Surgery Procedure
• What To Expect From A Consultation
• Why Choose Elena Prousskaia

Nipple Reconstruction Surgery procedure

An Inverted nipple can be corrected very easily through 2 mm incisions around the nipple. Scars are almost invisible.

Sometimes small secondary adjustments to the reconstructed breast can be done at the same time, such as a contralateral reduction, uplift, or lipofilling to the flap to help ensure matching shape and volume. This is a decision we will make together after a consultation and examination in my clinic. Sometimes more than one visit is needed in order to make the right choice.

What to expect from a consultation

Elena always offers lengthy, detailed consultations so she can fully understand the aims you are requesting. Elena can then talk through the available options, results and after care as well as the operation itself. You will then have a second consultation prior to your planned surgery to give yourself time to decide if you are happy to proceed.

Why choose Elena Prousskaia?

Ms Elena Prousskaia has been carrying out aesthetic and plastic surgery procedures for more than 20 years. Elena trained for eight years in Plastic and Reconstructive Surgery and since then has held leading Fellowships around the world and specialised in breast surgery procedures, whether a patient is having the procedure for purely aesthetic reasons or as part of breast reconstruction.

As an NHS Consultant Plastic and Reconstructive Surgeon at Southmead Hospital, she dedicated several years to complex microsurgical reconstruction and general plastic surgery. During this time at North Bristol Trust, she particularly enjoyed rebuilding patients who suffered from breast cancer giving them their body and confidence back. At present, Ms Prousskaia runs her own successful private practice performing full range of plastic and aesthetic surgery for face, body and breast. Elena Prousskaia consults in several clinics around the South West. Please see the ‘Our Locations’ tab in the menu for exact addresses or call us to discuss your closest location.

Frequently Asked Questions

Aftercare And Risks Nipple Correction?

Similar to all surgeries, nipple surgery is accompanied by certain risks, including the following: • Bleeding
• Infection
• Swelling
• Scars
• Nipples that invert again after surgery
• A loss of breast sensation temporarily
• The loss of the ability to breastfeed permanently Elena will provide you with further information with the risks and provide you with a detailed consent form during your consultations. This will help you to minimise the risks.

Are You Considering Nipple Correction?

Nipple reconstruction is often done under local anesthetic. This means that Elena would normally use a needle to inject numbing medication into the area where the reconstructed nipple will be. If you have local anesthetic, you will be awake during the procedure.

What Happens During Nipple Reconstruction?

A variety of different techniques exist for reconstruction of the nipple and its surrounding areolar tissue. These include the use of skin grafts taken from other regions of the body, local flaps of breast skin that are shaped into a nipple, or the sharing of tissue from the opposite nipple-areolar region. Additional techniques such as tattooing may be used to add color to the tissue if needed. Nipple reconstruction may be performed as a single surgical procedure, or combined with other breast reconstruction procedures.

Recovery After Nipple Reconstruction?

You should avoid all sport activities, housework such as hovering, driving, dog walking for at least 1-2 weeks following surgery and any weight lifting or strenuous activities for up to 4 weeks following the surgery. The visibility of your scars will depend on the technique used and on the biological response of your body to surgery and healing. Generally the scars after this type of surgery are almost invisible by the end of the year. After you have seen Ms Prousskaia for your four weeks follow up you can discuss beginning a gym routine focused on lower body strength.

What Is The Cost Of This Surgery?

Please scroll down for more information on pricing.

What Is The After Care For Nipple Correction?

The Elena Prousskaia Clinic prides itself on the quality of its aftercare so we’ll make absolutely sure you know what to expect, and how much rest is needed. We’ll give you specific instructions that may include how to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with Elena.

How Long Does Surgery Take?

Generally speaking this surgery takes around 30 minutes, although this varies depending on the nature of the procedure.

Is Nipple Correction Painful?

After surgery it is normal to experience some discomfort, the level of which varies widely amongst patients. There is rarely prolonged pain unless there is a complication and in all cases you will be prescribed pain medication.

Can This Procedure Be Carried Out With Others?

This procedure can be performed on its own or with other breast procedures. Elena will discuss all possible procedures and results with you during your consultation.

What Would My Expected Results Be?

Elena prides herself on taking the time to truly understand a patient’s aims and discussing what result will work best given the patient’s body shape and size. Although good results are expected, the body is not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance. The more realistic your expectations as to results, the better your results will be in your eye. You will have at least two consultations with Elena where she ensures that she meets your expectations and she will always try to achieve your desired results.

Can I smoke or vape before my surgery?

Elena does not operate on patients that regularly smoke or vape. To be considered for this procedure you must refrain from smoking or vaping for 3 months before and after your surgery.

Treatment Cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

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Treatment At A Glance

Surgical Time 1.5 - 2 hours
Hospital Stay Day case or over night
Initial Recovery Time 1 - 2 weeks
Anaesthetic Local or general anaesthetic
Final Result 3 - 12 months
Follow Up 1, 4, 12 weeks & 1 year

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WHAT DO ELENA'S PATIENTS SAY...

Elena was recommended to me and as soon as I met her I felt entirely comfortable. Her explanations made sense in terms of expectations. Having made the big decision I did feel nervous but had absolute trust and confidence in Elena. I knew I was in the best hands. Elena's team is so supportive, my questions were answered with patience and understanding. My care at the McIndoe Centre was excellent. I am five weeks post op for abdominoplasty and liposuction and last week. Quite amazing to see the before and after pictures! I am so pleased that I was fortunate enough to meet Elena and have no hesitation in recommending her.

SM – Abdominoplasty & Liposuction

I have been both physically and mentally uncomfortable in my body since I was 12. I was born with ‘breast mutation’ and I first had surgery to correct this through the NHS at 16 years old. The surgery I have had with Elena, 17 years later, has removed the NHS implants, one of which had ruptured, and completely altered the shape of my chest. By doing this she has made me look and feel like a woman for the first time in my life. She is at all times quietly kind and fiercely adept. A true artist. She has surrounded herself with the most wonderful team and I cannot thank them all enough for the new lease of life that I have been given.

EG – Removal & Replacement of Implants

I have been self conscious for the whole of my adult life and I cannot express how much this surgery  has changed things for me. Both mentally and physically. I highly recommend Elena. She supported me throughout my journey from start to finish. Elena is very particular which for me is really important. Elena really took care of me from initial consultation right through to surgery and aftercare.My scaring is minimal and I am absolutely over the moon with my results. Thank you Elena!

JB – Breast Reduction

Elena is an OUTSTANDING surgeon. I had PIP implants and was looking to have them changed. I knew Elena was the surgeon to help, she put me at ease and explained my options. The lovely ladies in her office were helpful, I wanted to get sorted asap, when an alternative date was available contacted me straight away. I received outstanding care from start to finish from Elena, her team and the hospital. The aftercare is amazing, nothing is too much trouble, can call any time. I was so relaxed, I knew I was in great hands. The final results are fantastic. Elena has worked magic and I couldn’t be happier. I’m so glad I found her. I can’t thank her and her team enough.

LMS – implant Removal & Replacement

Had surgery with Elena in September, I was extremely anxious about the whole thing, but Elena and her whole team, from admin to the hospital staff were amazing with me and reassured me throughout my journey. I can not recommend Elena enough, and she has changed my life for the better! Already saving for my next operation with her!

SM – Abdominoplasty & Arm Lift

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