⌵Nipple Reconstruction: Restoring Confidence at WIH International Hospital

The nipple-areola complex is a central and defining feature of the breast, playing a significant role in overall breast aesthetics and body confidence. For individuals experiencing congenital deformities, those who have undergone mastectomy, or those with various nipple irregularities, nipple reconstruction offers a transformative solution. At WIH International Hospital in Bangkok, our board-certified specialists provide world-class surgical care to correct nipple deformities, helping you achieve a more natural and balanced appearance.

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⌵Understanding Nipple Reconstruction: More Than Just Aesthetics

Nipple reconstruction is a specialized surgical procedure designed to create or recreate a nipple and, often, an areola that has been absent, damaged, or deformed. This can be due to:

• Congenital Deformities: Conditions present from birth, such as inverted nipples or absent nipples.
• Post-Mastectomy: For individuals who have undergone breast removal surgery (mastectomy), nipple reconstruction is a final step in the breast reconstruction journey.
• Trauma or Injury: Damage to the nipple due to accidents or burns.
• Prior Surgery Complications: Needing nipple revision after previous breast or nipple procedures.

Beyond aesthetics, successful nipple reconstruction can significantly enhance self-esteem and body image, contributing to overall well-being.

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⌵Common Nipple Deformities Addressed by Nipple Reconstruction

Our expert surgeons at WIH International Hospital frequently address a range of nipple deformities:

Inverted Nipple Correction

An inverted nipple is a common condition where the nipple is retracted inwards instead of projecting outwards. This can range from mild (Grade 1), where the nipple can be easily pulled out, to severe (Grade 3), where it’s deeply inverted and difficult to evert. Inverted nipple reconstruction aims to bring the nipple to an outward projection, improving both aesthetics and, in some cases, comfort.

Uneven or Asymmetrical Nipples

Differences in nipple size, shape, or projection between the two breasts can be corrected through nipple revision techniques, creating a more symmetrical appearance.

Absence of Nipple (Athelia)

In rare cases, individuals may be born without a nipple. Nipple reconstruction can create a new nipple in these instances.

Irregular Nipple Shape or Size

For nipples that are too large, small, wide, or have an irregular shape, targeted nipple reconstruction methods can refine their contours.

⌵ Nipple Reconstruction Methods: Advanced Techniques for Natural Results

At WIH International Hospital, our surgeons are proficient in various sophisticated nipple reconstruction methods, tailoring the approach to each patient’s unique needs and existing tissue. The goal is to create a proportionate nipple, projects well and blends seamlessly with the reconstructed breast.

Local Flap Techniques

These methods utilize the patient’s tissue from the surrounding breast or chest area to construct the nipple. They are popular for their natural feel and integration.

The CV Flap Technique: The nipple reconstruction CV flap is a widely used and effective method. It involves creating V-shaped incisions that are then closed in a Y-shape, allowing for projection of the central tissue to form the nipple. This technique is known for creating a well-projecting nipple with good long-term stability.

The Skate Flap Technique: The nipple reconstruction skate flap technique utilizes a flap of skin shaped like a skate. This method involves incising skin flaps that are then elevated and folded to create the nipple projection. It is often favored for its versatility and ability to create a nipple with a natural appearance.

Grafting Techniques

In some cases, a small full-thickness skin graft, often taken from the groin crease or behind the ear, may be used in combination with local flaps or as a standalone method, particularly for areola reconstruction.

Tissue Expansion

If there is insufficient skin on the breast mound for flap techniques, a tissue expander may be used beforehand to stretch the skin, creating enough material for reconstruction.

⌵The Nipple Reconstruction Procedure: What to Expect

1. Comprehensive Consultation in Bangkok

Your journey begins with an in-depth consultation with our specialist at WIH International Hospital. We will discuss your medical history, assess the existing condition of your breasts and nipples, understand your aesthetic goals, and determine the most appropriate nipple reconstruction methods for you. This is a crucial step to ensure clear communication and realistic expectations.

2. The Surgical Procedure

Nipple reconstruction is typically performed as an outpatient procedure under local anesthesia, sometimes with sedation or general anesthesia, depending on the complexity and patient preference. The chosen flap or graft technique will be meticulously performed by your surgeon to create the new nipple.

3. Recovery and Aftercare

Post-procedure, you will receive detailed aftercare instructions. You may experience some swelling, bruising, or discomfort, which can be managed with prescribed medication. It’s important to keep the area clean and follow all wound care instructions to promote healing. The new nipple will typically take several weeks to settle into its final shape and projection.

⌵Achieving Optimal Results: Areola Creation & Scar Management

While nipple reconstruction focuses on creating the nipple, the areola (the darker skin surrounding the nipple) also plays a vital role in natural breast aesthetics.

• Areola Creation: This can be achieved through:
  • Skin Grafting: Using a thin piece of skin from another part of the body.
  • Medical Tattooing: A highly specialized technique where medical-grade pigments are used to create a realistic areola and even add dimension to the reconstructed nipple. This is often performed a few months after nipple reconstruction, once the nipple has fully healed.
• Scar Management: Our surgeons employ meticulous techniques to minimize visible scarring. Following aftercare instructions, including potential scar massage or silicone treatments, can further improve scar appearance over time.

Why Choose WIH International Hospital for Nipple Reconstruction in Bangkok?

Choosing the right facility for nipple reconstruction is paramount. At WIH International Hospital, we offer:

• Board-Certified Plastic Surgeons: Our specialists are highly trained and experienced in complex breast and nipple reconstruction, including the nipple reconstruction CV flap and skate flap.
• State-of-the-Art Facilities: We provide a modern, safe, and sterile environment for all surgical procedures.
• Personalized Care: We understand the sensitive nature of nipple reconstruction and provide compassionate, individualized treatment plans tailored to your specific needs and desires.
• Comprehensive Support: From your initial consultation to your post-operative follow-ups, our dedicated team ensures you receive the highest standard of care throughout your journey.

We are committed to helping you achieve confidence and satisfaction with your results.