Introduction
Nipple inversion is a common condition that can affect both men and women. It may lead to self - consciousness, functional problems like difficulties in breastfeeding, and in some cases, even infection. For those in New York City seeking correction for this condition, the choice of the right hospital and surgeon is crucial. In this article, we will explore some of the top medical professionals and their practices that offer high - quality nipple inversion correction services.
Understanding Nipple Inversion
Nipple inversion occurs when the nipple retracts into the breast tissue instead of pointing outward. There are different grades of nipple inversion:
- Grade 1: The inverted nipples come out occasionally without manipulation. Women with this grade usually don't have problems breastfeeding, and the nipple can be easily pulled out and maintain its outward position.
- Grade 2: The inverted nipples require manipulation to evert them. It may present challenges in breastfeeding, as the lactiferous duct and milk flow can be affected. The nipple can be pulled out but has a tendency to retract.
- Grade 3: The inverted nipples do not come out at all. At this stage, breastfeeding could be significantly difficult, and the aesthetic appearance can be bothersome. Any attempt to pull the nipple out results in immediate retraction.
The causes of nipple inversion can vary. Genetics play a major role, as some individuals are born with inverted nipples due to variations during fetal development. Inflammation in the breast tissue, duct ectasia (abnormal dilation of a duct in the breast), and in certain cases, breast cancer can also lead to nipple inversion. It's important to note that while nipple inversion is often a cosmetic concern, sudden changes in nipple appearance should be evaluated by a medical professional to rule out underlying health issues.
Top Doctors and Their Practices for Nipple Inversion Correction in NYC
Dr. William Lao
Dr. William Lao is a top plastic surgeon specializing in inverted nipple correction in NYC. He graduated from Johns Hopkins University and has over a decade of experience. He has been listed as a top doc in the aesthetic magazine, New Beauty.
Candidates for the Procedure: The best - inverted nipple correction patients in New York, according to Dr. Lao, are those who are in good overall physical health, don’t smoke cigarettes, and feel that they have inverted nipples.
Procedure Details: There are many techniques to correct nipple inversion, but the general principle involves a small incision around the nipple and breaking through the scar tissue tethering the nipple. The surgery can be done under just local anesthesia in a short amount of time, usually between 30 minutes to 1 hour.
Recovery: Patients will be able to return home the same day as their surgery. The recovery is usually very mild, and they should be able to return to work within a day or so. However, they should avoid swimming for 2 weeks.
Cost: The price of an inverted nipple correction in New York City can vary. Dr. Lao will meet with patients in his NYC office to discuss all of their options and give them more exact pricing.
Dr. Adam Kolker
Dr. Adam Kolker offers inverted nipple correction in NYC. His unique artistic and technical approach to inverted nipple correction can be found in his journal article “Minimally invasive correction of inverted nipples: a safe and simple technique for reliable, sustainable projection” published in the Annals of Plastic Surgery in May 2009.
Procedure Customization: After a careful history and examination, Dr. Kolker will advise patients on the most suitable procedure based on the classification of their nipple inversion. There are three main types of nipple inversion, and many women may have a combination of different grades in each breast. Occasionally, mild forms of nipple inversion may respond to non - surgical measures such as the use of a “niplette” external suction device, but this is rarely effective for grade II and III inverted nipples.
Procedure Duration and Requirements: The inverted nipple correction surgery is approximately one hour long. Most commonly, local anesthesia is used, and the procedure is performed safely, comfortably, and conveniently in his office - based surgical unit, accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF).
Recovery: Following the correction, recovery is rapid. Patients may return to work the following day, and light cardio exercise may be resumed three days after the procedure. The main restriction is from compression for ten days to two weeks after the procedure, during which time they should not wear a bra.
Dr. William Samson
Dr. William Samson, MD, specializes in the most modern and state - of - the - art procedures for inverted nipple correction in his award - winning New York City practice. It's been recorded that inverted nipples occur in 10% of men and women, and Dr. Samson offers solutions to address this common condition.
Benefits of the Procedure: Inverted nipple repair at William Samson MD can significantly improve daily life. It provides benefits such as ease of and improvement in breastfeeding, restoration of function and aesthetics of the nipples, elimination of the cause for concern or embarrassment, improved intimacy and self - confidence, and a lesser chance of infection.
Procedure on the Day of Surgery: The surgery can be done in under an hour under local anesthesia. Dr. Samson will make a carefully placed incision around the base of the nipple. He will then carefully tease out the shortened or pulled breast milk ducts and suture them in their new position to form a properly projecting nipple. An additional surgical option, which doesn’t preserve the ability to breastfeed, is to detach the milk ducts from the nipple, and this will be determined by the patient’s need for breastfeeding.
Candidates: Ideal candidates are healthy patients who are concerned with the appearance of their nipples. Possible patients who smoke would need to quit for a period leading up to and after their surgery, and women planning to have children will be diagnosed to determine the risk of impacting their ability to breastfeed.
Recovery: Mild to moderate bruising or swelling will subside within two to three days. Patients are asked to return to Dr. Samson after four days to have their sutures removed. Most patients in New York City will be able to return to their normal social and professional activities within a day or two after the nipple surgery.
Cost: The most suitable way to understand the price of the procedure is to come in for a consultation. The office also offers Alphaeon, a specialized credit card that can be used to pay for plastic surgery procedures with special financing options.
New York Plastic Surgical Group
The plastic surgeons at New York Plastic Surgical Group can correct inverted nipples with surgery designed to give the nipples a more natural appearance. Many of their doctors have been specialty - trained in breast surgery procedures and have attended some of the most revered medical institutions in the world.
Procedure Options: There are generally two procedures to correct inverted nipples. One preserves the milk ducts and can address the patient’s condition while maintaining the ability to breastfeed. The other involves detaching the milk ducts and is typically reserved for patients who are not planning to breastfeed.
Procedure Details: Both techniques generally take about an hour to complete on an outpatient basis. The surgeries can be performed at their state - of - the - art operating rooms at their Garden City or Manhattan locations, which are accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).
Recovery: There is very little recovery time associated with the surgery. Patients may experience some discomfort, irritation, or swelling for a few days, which can be alleviated with medication. Stitches are typically removed about four days following the surgery, and patients can usually resume their normal daily routines about a day after the procedure. However, strenuous activity should be avoided for several weeks.
Dr. Darren M. Smith
Dr. Darren M. Smith offers a specialized approach to inverted nipple correction surgery in New York City. He is a board - certified plastic surgeon who has pursued extensive training, completing fellowships in both aesthetic and craniofacial surgery.
Considerations for Breastfeeding: Dr. Smith frequently addresses patients' concerns about breastfeeding. For those with milder cases of nipple inversion, there is a stronger chance of breastfeeding post - surgery as the procedure can be designed to minimize damage to the milk ducts. In more pronounced inversions, a more intensive approach may be required, which could impact the ability to breastfeed.
Surgical Process:
- Pre - surgery: The consultation involves a comprehensive examination, setting expectations, and preoperative preparation, including lab work and instructions on things to avoid before surgery.
- The surgery: It is typically an outpatient surgery that lasts around 30 minutes to an hour and is done under local anesthesia. Dr. Smith uses surgical suture techniques, makes careful incisions at the base of the nipple, releases the tissue pulling the nipple inward, and inserts a medical grade bar (similar to a piercing) to force the nipple outward as the internal structures heal. The bar is removed after about 2 weeks.
- Post - surgery: Immediate aftercare is crucial to prevent infection. Patients should avoid strenuous activities for the first two weeks. There will be regular check - ins at 7 - 10 days, 1 month, 3 months, and 6 months post - operative appointments.
Candidates: Ideal candidates usually have congenital or acquired nipple inversion, are in good health, have realistic expectations, and if they have breastfeeding concerns, they should discuss them thoroughly with Dr. Smith. Pregnant women or those planning to get pregnant in the near future should hold off on the surgery.
Dr. Mark H. Schwartz
Dr. Mark H. Schwartz is a New York City board - certified plastic surgeon who offers inverted nipple correction. Inverted or flat nipples are caused by tight foreshortened breast ducts, and his procedure can successfully restore a normal appearance to the nipples and improve self - confidence.
Candidates: Inverted nipple correction is designed for women who are born with inverted or slit - like nipples or whose nipples become inverted later in life, possibly due to scar tissue from breastfeeding. Potential candidates should be in good physical and psychological health, not smoke, understand the possible risks of surgery, and weigh the pros and cons.
Procedure Details: The operation may be performed with either local anesthesia or sedation in his office. Dr. Schwartz makes a small incision near the base of the nipple on the areola, lifts the nipple and areolar tissue, and stitches it into its new protruding position. Whenever possible, he attempts to leave some of the milk ducts intact so the patient retains the ability to breastfeed, but in some cases, the milk ducts must be severed.
Recovery: After surgery, the nipples may be temporarily swollen and/or bruised, and there may be a slight change in sensation or numbness. These side effects resolve over a few days. Dr. Schwartz provides comprehensive instructions for recovery and checks the nipples’ healing progress at post - operative visits.
Dr. Thomas Loeb
Dr. Thomas Loeb is an NYC plastic surgeon who offers inverted nipple correction. He performs the surgery in his private surgical suite.
Planning the Procedure: During the personal consultation, Dr. Loeb will discuss the patient's reasons for pursuing the correction, take a thorough medical history, and find out about future breastfeeding plans. The degree of nipple inversion will factor into the type of procedure he recommends. Less severe cases may be addressed with a non - surgical procedure, while more pronounced cases may require surgery and stents.
Procedure Details: The surgery is performed using local anesthetic. It involves a small incision around the areola, inserting a tiny instrument to release the ducts drawing the nipple inward. Dissolvable sutures are placed underneath the nipple to hold it in position, and in some cases, small bolsters may also be inserted.
Recovery: Patients are advised to have someone drive them home and rest for around 24 hours after the surgery. Most patients return to work the next day. Some pain and swelling are expected for a few days, which can be managed with over - the - counter pain medication. Results are seen right away and may improve over the next two to four weeks, and stitches will dissolve on their own within 10 days to two weeks. Patients should wear loose - fitting clothing and avoid tight - fitting bras and camisoles during this time.
Dr. Nina S. Naidu
Dr. Nina S. Naidu is a female plastic surgeon in New York City who specializes in aesthetic surgery of the breast. She views breast surgery as a creative endeavor that improves a woman’s physical beauty and enhances her self - confidence.
Procedure Suitability: Ideal candidates for inverted nipple correction with Dr. Naidu are those who feel self - conscious about their inverted nipples and do not intend to breastfeed in the future. They must also be in good health and non - smokers and have realistic expectations about the degree of eversion.
Consultation Process: The first consultation involves getting to know the patient and their goals, taking a medical history, conducting a physical examination of the nipples and breasts, and taking pre - operative photographs. The second consultation, if the patient decides to proceed, will outline the surgical plan in greater detail, including the length of the surgery, incision locations, and what to expect during recovery.
Procedure Details: The surgery takes between 30 - 45 minutes and is performed in a NYC ambulatory surgery center using a local anesthetic with mild sedation. Dr. Naidu makes careful incisions around the nipple to release the tissue pulling it inward, everts the nipple, and uses fine sutures to hold it in the new position. Surgical shields are placed on the nipples during recovery.
Recovery: Patients are allowed to go home the same day. Most have moderate soreness of the nipples, and Dr. Naidu will provide a prescription for pain management and instructions on incision care. Many patients return to work the following day.
Complications and Cost: Complications can include bleeding, infection, scarring, asymmetrical nipples, recurrence of inversion, loss of nipple sensitivity, and inability to breastfeed. Inverted nipple correction is generally considered cosmetic surgery and is not covered by insurance. Patients will receive an exact fee quote after the first consultation.
Comparison of Doctors and Their Practices
| Doctor | Experience and Qualifications | Procedure Duration | Anesthesia Type | Recovery Time | Breastfeeding Preservation | Cost Information |
|---|---|---|---|---|---|---|
| Dr. William Lao | Graduated from Johns Hopkins University, over a decade of experience, listed as a top doc in New Beauty | 30 minutes - 1 hour | Local anesthesia | Return home same day, return to work in 1 - 2 days, no swimming for 2 weeks | Not specified, likely considers patient's needs | Customized pricing after consultation |
| Dr. Adam Kolker | Journal - published approach in Annals of Plastic Surgery | Approximately 1 hour | Local anesthesia | Return to work next day, light cardio in 3 days, avoid compression for 10 - 14 days | Customized based on nipple inversion grade | Not specified |
| Dr. William Samson | Specializes in modern and state - of - the - art procedures in an award - winning practice | Under 1 hour | Local anesthesia | Return to normal activities in 1 - 2 days, suture removal in 4 days | Options available depending on patient's breastfeeding needs | Consultation for pricing, Alphaeon financing available |
| New York Plastic Surgical Group | Doctors are specialty - trained and from top medical institutions | About 1 hour | Local anesthesia with sedation | Resume normal daily routines in 1 day, avoid strenuous activity for weeks, stitch removal in 4 days |
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