Plastic Surgery Thailand

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Inverted Nipples and Areola Size Correction in Thailand


Inverted nipples can be psychologically distressing and can interfere with both lactation and breast-feeding so we would really like to assist you but first of all…

  • What ‘Grades’ of Nipple Inversion are you and why should it matter?
  • Because hopefully you will be able to avoid surgery.

So before considering Thailand surgery consider …what Grade Nipple Inversion you are?

There may be a NON SURGICAL SOLUTION for your Inverted Nipples but this will initially depend on WHAT ‘GRADE’ INVERTED NIPPLEyou are? Generally women with a flat or grade 1 nipple inversion tend to respond well to the a suction device but unfortunately it does not work do well for grade 2 to 3 nipples.

Nipple Correction devices can be used by women of any age to correct inverted or non-protractile nipples. Using suction to gently stretch the lactiferous ducts over time, it can be tucked discretely inside the bra and can achieve a permanent correction between 1 and 3 months of continuous use, for 8hrs/day.

The Han and Hong classification system defines nipple inversion scales – 1 or 2 or 3.

Inverted Nipples Grade 1

The nipple is inverted or retracted under the areola. The nipple is easily pulled out, and maintains eversion without traction. For correction, the nipple is manuallyeverted and projection is maintained with a purse-string suture or by use of suctin technology

Inverted Nipples Grade 2

The nipple are inverted and difficult to evert – retracted under the areola and tends toretract once everted. There is moderate fibrosis and lactiferous ductsare retracted but not fibrosed. Surgical vertical plane dissection is performed to release the fibrosis while avoiding damage to lactiferous ducts.

Inverted Nipples Grade 3

There is marked lactiferous duct fibrosis/retraction and marked loss of soft-tissue bulk. Retracted and fibrosed lactiferous ducts are carefully released, whereas no retracted, functionalducts are maintained. Dermal fat grafts, laminated cartilage grafts, tendongrafts, and multiple variants of breast tissue and dermal flaps canbe used to correct loss of soft-tissue bulk. Eversion is maintained withpurse-string sutures, splints.

What Happens with Thailand Surgery?

This surgical procedure is generally performed under local anaesthetic as a day patien however it is very common to have this procedure done when you are arranging other surgery.

  • Surgery under a local lasts about 30 minutes.
  • Your milk ducts which are tethering your nipple inwards are either released or divided. This allows your nipple to come out and lie in its normal position.
  • Soluble internal stitches are used at the base of the nipple to hold it in position whilst it is healing.

The Down Side of Thailand Nipple Inversion Surgery

The main downside of surgery is that you will be unable to breast feed after inverted nipple correction. This is because the milk ducts which carry the milk from the underlying breast glands to the nipple will be divided or lengthened during the operation.


You can reduce your oversized areola in a number of ways and your mammary gland and the milk ducts usually remain intact. This means that you should be able to still breastfeed after the operation. Naturally speak to your surgeon.

Typically your areola has a diameter of about 4.5 cm. Surgery will remove the pigmented skin around the nipple or around the areola.

This is done by making an incision around the outside of the areola or by making an incision around the nipple.

It is very comment to arrange an areola reduction with your breast lift or breast reduction.